Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,925.13 / $7,920.26 / $20,400.00	Facility		$1,925.13	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $816.76 / $1,225.26 / $2,760.24	Professional		$816.76	$1,225.26	$2,760.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.41 / $1,699.17 / $2,599.07	Professional		$1,096.41	$1,699.17	$2,599.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,617.74 / $1,898.53 / $2,273.34	Professional		$1,617.74	$1,898.53	$2,273.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,225.26 / $1,678.61 / $2,244.32	Facility		$1,225.26	$1,678.61	$2,244.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,419.69 / $1,569.22 / $2,323.13	Professional		$1,419.69	$1,569.22	$2,323.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,204.47 / $1,665.62 / $1,770.81	Facility		$1,204.47	$1,665.62	$1,770.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,225.26 / $1,725.84 / $2,255.09	Facility		$1,225.26	$1,725.84	$2,255.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,556.71 / $1,785.92 / $2,428.27	Professional		$1,556.71	$1,785.92	$2,428.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,397.43 / $20,285.91 / $26,041.52	Facility		$9,397.43	$20,285.91	$26,041.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,616.30 / $2,062.86 / $2,772.51	Professional		$1,616.30	$2,062.86	$2,772.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,243.60 / $1,801.98 / $2,722.62	Professional		$1,243.60	$1,801.98	$2,722.62