Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,825.61 / $8,952.00 / $32,689.00	Facility		$1,825.61	$8,952.00	$32,689.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $777.71 / $1,153.34 / $3,212.22	Professional		$777.71	$1,153.34	$3,212.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,059.63 / $2,059.63 / $5,022.74	Facility		$2,059.63	$2,059.63	$5,022.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $802.65 / $1,608.47 / $2,310.17	Professional		$802.65	$1,608.47	$2,310.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,311.93 / $1,722.68 / $2,132.08	Professional		$1,311.93	$1,722.68	$2,132.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $889.46 / $1,527.66 / $2,470.42	Facility		$889.46	$1,527.66	$2,470.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,252.80 / $1,473.28 / $2,422.41	Professional		$1,252.80	$1,473.28	$2,422.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,179.76 / $1,598.18 / $1,694.43	Facility		$1,179.76	$1,598.18	$1,694.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $993.21 / $1,733.44 / $2,841.24	Facility		$993.21	$1,733.44	$2,841.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,404.48 / $1,781.69 / $2,305.71	Professional		$1,404.48	$1,781.69	$2,305.71
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 $1,514.21 / $1,924.71 / $2,508.05	Professional		$1,514.21	$1,924.71	$2,508.05
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 $1,182.76 / $1,696.67 / $2,569.64	Professional		$1,182.76	$1,696.67	$2,569.64