Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,016.35 / $5,649.00 / $15,341.00	Facility		$2,016.35	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.04 / $1,380.81 / $3,797.90	Professional		$954.04	$1,380.81	$3,797.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $1,664.70	Facility		$1,664.70	$1,664.70	$1,664.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,025.53 / $1,969.51 / $2,794.82	Professional		$1,025.53	$1,969.51	$2,794.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,632.67 / $2,143.84 / $2,633.49	Professional		$1,632.67	$2,143.84	$2,633.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,081.20 / $1,840.16 / $2,865.66	Facility		$1,081.20	$1,840.16	$2,865.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,554.48 / $1,798.89 / $2,980.08	Professional		$1,554.48	$1,798.89	$2,980.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,270.57 / $1,949.70 / $2,051.54	Facility		$1,270.57	$1,949.70	$2,051.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,129.48 / $2,074.40 / $2,865.66	Facility		$1,129.48	$2,074.40	$2,865.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,702.26 / $2,184.57 / $2,833.47	Professional		$1,702.26	$2,184.57	$2,833.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,721.75 / $12,052.68	Facility		$7,382.73	$9,721.75	$12,052.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,876.46 / $2,377.64 / $3,026.14	Professional		$1,876.46	$2,377.64	$3,026.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,533.00 / $9,074.00 / $12,786.00	Facility		$1,533.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,425.90 / $2,085.02 / $3,245.96	Professional		$1,425.90	$2,085.02	$3,245.96