Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,021.19 / $5,649.00 / $15,341.00	Facility		$2,021.19	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $901.42 / $1,396.48 / $3,583.38	Professional		$901.42	$1,396.48	$3,583.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,310.00 / $2,310.00 / $2,406.86	Facility		$2,310.00	$2,310.00	$2,406.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,028.92 / $1,928.80 / $2,848.30	Professional		$1,028.92	$1,928.80	$2,848.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,620.64 / $2,128.05 / $2,612.38	Professional		$1,620.64	$2,128.05	$2,612.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,154.33 / $1,826.91 / $2,779.58	Facility		$1,154.33	$1,826.91	$2,779.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,510.40 / $1,801.80 / $3,035.40	Professional		$1,510.40	$1,801.80	$3,035.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,347.94 / $1,947.02 / $2,070.30	Facility		$1,347.94	$1,947.02	$2,070.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,215.76 / $2,042.84 / $3,276.17	Facility		$1,215.76	$2,042.84	$3,276.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,685.76 / $2,223.58 / $2,905.52	Professional		$1,685.76	$2,223.58	$2,905.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,607.31 / $8,780.14 / $10,511.02	Facility		$6,607.31	$8,780.14	$10,511.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,888.76 / $2,411.75 / $3,044.68	Professional		$1,888.76	$2,411.75	$3,044.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,533.00 / $8,090.00 / $12,786.00	Facility		$1,533.00	$8,090.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,521.84 / $2,137.19 / $3,267.25	Professional		$1,521.84	$2,137.19	$3,267.25