Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,199.13 / $5,649.00 / $15,341.00	Facility		$2,199.13	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $978.50 / $1,513.06 / $3,904.77	Professional		$978.50	$1,513.06	$3,904.77
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 $1,106.36 / $2,101.66 / $3,033.43	Professional		$1,106.36	$2,101.66	$3,033.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,771.91 / $2,326.67 / $2,865.57	Professional		$1,771.91	$2,326.67	$2,865.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,181.41 / $1,997.41 / $3,002.65	Facility		$1,181.41	$1,997.41	$3,002.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,618.80 / $1,935.36 / $3,246.60	Professional		$1,618.80	$1,935.36	$3,246.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,438.22 / $2,113.17 / $2,214.35	Facility		$1,438.22	$2,113.17	$2,214.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,246.95 / $2,216.87 / $3,583.73	Facility		$1,246.95	$2,216.87	$3,583.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,815.33 / $2,370.03 / $3,076.89	Professional		$1,815.33	$2,370.03	$3,076.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,607.31 / $9,198.70 / $11,120.17	Facility		$6,607.31	$9,198.70	$11,120.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,022.22 / $2,579.55 / $3,291.88	Professional		$2,022.22	$2,579.55	$3,291.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,895.00 / $11,770.00 / $26,404.00	Facility		$1,895.00	$11,770.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,580.00 / $2,212.00 / $3,431.77	Professional		$1,580.00	$2,212.00	$3,431.77