Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $5,649.00 / $15,341.00	Facility		$1,486.00	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $641.44 / $1,077.23 / $2,755.00	Professional		$641.44	$1,077.23	$2,755.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,406.86 / $2,406.86 / $4,375.60	Facility		$2,406.86	$2,406.86	$4,375.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $700.09 / $1,347.05 / $1,955.15	Professional		$700.09	$1,347.05	$1,955.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.16 / $1,473.49 / $1,820.32	Professional		$1,122.16	$1,473.49	$1,820.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $748.76 / $1,264.80 / $1,899.33	Facility		$748.76	$1,264.80	$1,899.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,022.31 / $1,226.77 / $2,059.94	Professional		$1,022.31	$1,226.77	$2,059.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $925.43 / $1,333.97 / $1,404.99	Facility		$925.43	$1,333.97	$1,404.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $814.19 / $1,409.18 / $2,416.09	Facility		$814.19	$1,409.18	$2,416.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,161.50 / $1,518.43 / $1,968.82	Professional		$1,161.50	$1,518.43	$1,968.82
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 $1,281.72 / $1,636.71 / $2,070.30	Professional		$1,281.72	$1,636.71	$2,070.30
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 $1,002.00 / $1,453.22 / $2,217.17	Professional		$1,002.00	$1,453.22	$2,217.17