Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,869.09 / $9,972.00 / $42,921.00	Facility		$1,869.09	$9,972.00	$42,921.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $797.61 / $1,120.92 / $3,691.59	Professional		$797.61	$1,120.92	$3,691.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,341.30 / $2,341.30 / $5,022.74	Facility		$2,341.30	$2,341.30	$5,022.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $877.71 / $1,799.47 / $2,627.57	Professional		$877.71	$1,799.47	$2,627.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,486.86 / $1,952.38 / $2,422.46	Professional		$1,486.86	$1,952.38	$2,422.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,003.43 / $1,676.11 / $2,405.63	Facility		$1,003.43	$1,676.11	$2,405.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,339.80 / $1,602.90 / $2,734.80	Professional		$1,339.80	$1,602.90	$2,734.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,194.29 / $1,652.22 / $1,865.28	Facility		$1,194.29	$1,652.22	$1,865.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,119.67 / $1,852.44 / $3,207.62	Facility		$1,119.67	$1,852.44	$3,207.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,531.20 / $1,993.76 / $2,627.57	Professional		$1,531.20	$1,993.76	$2,627.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,671.70 / $19,116.02 / $21,922.68	Facility		$13,671.70	$19,116.02	$21,922.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,709.16 / $2,172.91 / $2,633.10	Professional		$1,709.16	$2,172.91	$2,633.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,151.00 / $15,055.00 / $24,231.00	Facility		$2,151.00	$15,055.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,293.93 / $1,853.68 / $2,929.08	Professional		$1,293.93	$1,853.68	$2,929.08