Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,096.16 / $4,962.67 / $15,341.00	Facility		$2,096.16	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $774.85 / $1,203.03 / $3,385.96	Professional		$774.85	$1,203.03	$3,385.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,113.27 / $1,981.80 / $3,128.79	Professional		$1,113.27	$1,981.80	$3,128.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,985.98 / $2,330.98 / $2,790.80	Professional		$1,985.98	$2,330.98	$2,790.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,150.75 / $1,696.21 / $2,361.33	Facility		$1,150.75	$1,696.21	$2,361.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,377.00 / $1,869.92 / $2,944.08	Professional		$1,377.00	$1,869.92	$2,944.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,249.04 / $1,840.85 / $2,242.48	Facility		$1,249.04	$1,840.85	$2,242.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,215.59 / $1,908.24 / $3,065.00	Facility		$1,215.59	$1,908.24	$3,065.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,650.60 / $2,211.66 / $3,047.04	Professional		$1,650.60	$2,211.66	$3,047.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,846.16 / $6,142.31 / $7,227.91	Facility		$4,846.16	$6,142.31	$7,227.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,991.86 / $2,612.33 / $3,511.00	Professional		$1,991.86	$2,612.33	$3,511.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,404.64 / $2,140.64 / $3,253.77	Professional		$1,404.64	$2,140.64	$3,253.77