Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $20,400.00	Facility		$2,747.00	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $855.90 / $1,233.96 / $1,697.36	Professional		$855.90	$1,233.96	$1,697.36
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 $919.81 / $2,521.23 / $3,478.21	Professional		$919.81	$2,521.23	$3,478.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,774.80 / $2,420.17 / $3,043.21	Professional		$1,774.80	$2,420.17	$3,043.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,359.16 / $1,697.36 / $3,649.32	Facility		$1,359.16	$1,697.36	$3,649.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13,910.16 / $17,150.38 / $18,772.80	Professional		$13,910.16	$17,150.38	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,478.25 / $2,162.01 / $2,369.79	Facility		$1,478.25	$2,162.01	$2,369.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,390.50 / $1,697.36 / $3,649.32	Facility		$1,390.50	$1,697.36	$3,649.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,408.60 / $2,664.80 / $3,862.35	Professional		$1,408.60	$2,664.80	$3,862.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,165.53 / $2,760.63 / $3,336.15	Professional		$2,165.53	$2,760.63	$3,336.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,345.00 / $7,664.00 / $31,303.00	Facility		$1,345.00	$7,664.00	$31,303.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,561.04 / $2,251.50 / $3,711.14	Professional		$1,561.04	$2,251.50	$3,711.14