Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,528.00 / $10,180.24 / $42,921.00	Facility		$2,528.00	$10,180.24	$42,921.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,215.28 / $1,683.95	Professional		$776.25	$1,215.28	$1,683.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,168.02 / $2,983.66 / $4,440.18	Professional		$2,168.02	$2,983.66	$4,440.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,447.28 / $2,850.53 / $3,419.33	Professional		$2,447.28	$2,850.53	$3,419.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,683.95 / $1,768.15 / $2,845.15	Facility		$1,683.95	$1,768.15	$2,845.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $92,699.07 / $92,699.07 / $92,699.07	Professional		$92,699.07	$92,699.07	$92,699.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,605.99 / $2,562.01 / $2,676.65	Facility		$1,605.99	$2,562.01	$2,676.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,511.66 / $1,683.95 / $2,783.26	Facility		$1,511.66	$1,683.95	$2,783.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,919.33 / $3,071.16 / $4,440.18	Professional		$1,919.33	$3,071.16	$4,440.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,356.48 / $3,118.10 / $4,174.74	Professional		$2,356.48	$3,118.10	$4,174.74
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 $1,230.77 / $2,291.90 / $3,802.44	Professional		$1,230.77	$2,291.90	$3,802.44