Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,601.15 / $2,747.00 / $13,746.00	Facility		$1,601.15	$2,747.00	$13,746.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $823.82 / $1,178.03 / $2,384.40	Professional		$823.82	$1,178.03	$2,384.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,112.69 / $1,791.99 / $2,767.23	Professional		$1,112.69	$1,791.99	$2,767.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,733.68 / $2,030.70 / $2,436.25	Professional		$1,733.68	$2,030.70	$2,436.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,243.42 / $1,690.12 / $2,217.78	Facility		$1,243.42	$1,690.12	$2,217.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,441.30 / $1,653.60 / $2,481.19	Professional		$1,441.30	$1,653.60	$2,481.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,248.03 / $1,739.99 / $1,885.38	Facility		$1,248.03	$1,739.99	$1,885.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,252.50 / $1,861.21 / $5,949.00	Facility		$1,252.50	$1,861.21	$5,949.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,631.78 / $1,895.36 / $2,584.02	Professional		$1,631.78	$1,895.36	$2,584.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,365.28	Facility		$3,820.30	$4,901.89	$6,365.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,716.55 / $2,196.33 / $2,951.89	Professional		$1,716.55	$2,196.33	$2,951.89
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 $1,236.03 / $1,854.04 / $2,891.47	Professional		$1,236.03	$1,854.04	$2,891.47