Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,199.85 / $7,920.26 / $20,400.00	Facility		$2,199.85	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $766.86 / $1,196.35 / $3,486.30	Professional		$766.86	$1,196.35	$3,486.30
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 $1,169.76 / $2,087.35 / $3,282.52	Professional		$1,169.76	$2,087.35	$3,282.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,046.76 / $2,401.71 / $2,876.22	Professional		$2,046.76	$2,401.71	$2,876.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,043.48 / $1,717.14 / $2,306.60	Facility		$1,043.48	$1,717.14	$2,306.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,112.20 / $1,870.50 / $2,938.84	Professional		$1,112.20	$1,870.50	$2,938.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,113.09 / $1,835.90 / $2,236.46	Facility		$1,113.09	$1,835.90	$2,236.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,043.48 / $1,793.39 / $5,217.00	Facility		$1,043.48	$1,793.39	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,609.74 / $2,230.40 / $3,065.29	Professional		$1,609.74	$2,230.40	$3,065.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $9,638.43 / $12,117.15	Facility		$7,715.78	$9,638.43	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,037.60 / $2,605.31 / $3,501.56	Professional		$2,037.60	$2,605.31	$3,501.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,455.59 / $2,119.26 / $3,432.26	Professional		$1,455.59	$2,119.26	$3,432.26