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 $683.27 / $1,008.86 / $2,793.99	Professional		$683.27	$1,008.86	$2,793.99
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 $769.90 / $1,415.33 / $2,027.83	Professional		$769.90	$1,415.33	$2,027.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,234.91 / $1,621.54 / $1,992.73	Professional		$1,234.91	$1,621.54	$1,992.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $835.60 / $1,354.25 / $2,057.61	Facility		$835.60	$1,354.25	$2,057.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,143.28 / $1,340.45 / $2,312.40	Professional		$1,143.28	$1,340.45	$2,312.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,010.18 / $1,392.30 / $1,577.18	Facility		$1,010.18	$1,392.30	$1,577.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $883.64 / $1,512.71 / $2,057.61	Facility		$883.64	$1,512.71	$2,057.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,209.71 / $1,609.01 / $2,116.25	Professional		$1,209.71	$1,609.01	$2,116.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,696.02 / $4,139.46 / $8,165.62	Facility		$1,696.02	$4,139.46	$8,165.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,373.30 / $1,827.88 / $2,216.19	Professional		$1,373.30	$1,827.88	$2,216.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,472.00 / $4,880.00 / $7,233.00	Facility		$1,472.00	$4,880.00	$7,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,057.74 / $1,464.18 / $2,423.19	Professional		$1,057.74	$1,464.18	$2,423.19