Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,953.07 / $2,181.46 / $2,456.52	Facility		$1,953.07	$2,181.46	$2,456.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $863.34 / $1,318.00 / $4,389.00	Professional		$863.34	$1,318.00	$4,389.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102,505.00 / $102,505.00 / $102,505.00	Facility		$102,505.00	$102,505.00	$102,505.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,381.34 / $2,230.30 / $3,063.23	Professional		$1,381.34	$2,230.30	$3,063.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,604.03 / $2,310.40 / $2,601.27	Professional		$1,604.03	$2,310.40	$2,601.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,318.00 / $1,951.70 / $2,833.70	Facility		$1,318.00	$1,951.70	$2,833.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,523.88 / $1,781.40 / $3,327.20	Professional		$1,523.88	$1,781.40	$3,327.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,328.34 / $1,920.89 / $2,087.05	Facility		$1,328.34	$1,920.89	$2,087.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,318.00 / $2,369.25 / $2,833.70	Facility		$1,318.00	$2,369.25	$2,833.70
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $330.90 / $330.90 / $330.90	Facility	AS	$330.90	$330.90	$330.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,743.82 / $2,376.98 / $3,063.23	Professional		$1,743.82	$2,376.98	$3,063.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,896.13 / $2,555.86 / $3,267.64	Professional		$1,896.13	$2,555.86	$3,267.64
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,520.48 / $2,163.60 / $3,279.99	Professional		$1,520.48	$2,163.60	$3,279.99