Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,199.89 / $8,369.76 / $30,593.00	Facility		$2,199.89	$8,369.76	$30,593.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $981.71 / $1,525.44 / $3,891.66	Professional		$981.71	$1,525.44	$3,891.66
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 $1,112.95 / $2,088.65 / $3,091.62	Professional		$1,112.95	$2,088.65	$3,091.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,754.51 / $2,303.83 / $2,833.30	Professional		$1,754.51	$2,303.83	$2,833.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,244.75 / $2,024.48 / $2,990.61	Facility		$1,244.75	$2,024.48	$2,990.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,671.78 / $1,958.06 / $3,279.00	Professional		$1,671.78	$1,958.06	$3,279.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,459.31 / $2,020.69 / $2,236.46	Facility		$1,459.31	$2,020.69	$2,236.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,304.58 / $2,216.59 / $2,990.61	Facility		$1,304.58	$2,216.59	$2,990.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,836.18 / $2,402.58 / $3,147.97	Professional		$1,836.18	$2,402.58	$3,147.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,392.79 / $5,392.79 / $5,392.79	Facility		$5,392.79	$5,392.79	$5,392.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,045.59 / $2,605.31 / $3,151.39	Professional		$2,045.59	$2,605.31	$3,151.39
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 $1,551.84 / $2,297.48 / $3,680.22	Professional		$1,551.84	$2,297.48	$3,680.22