Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,093.98 / $2,747.00 / $7,920.26	Facility		$2,093.98	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $784.65 / $1,202.29 / $3,197.95	Professional		$784.65	$1,202.29	$3,197.95
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 $1,129.26 / $1,996.45 / $3,272.83	Professional		$1,129.26	$1,996.45	$3,272.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,981.69 / $2,322.92 / $2,784.78	Professional		$1,981.69	$2,322.92	$2,784.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,136.75 / $1,574.84 / $2,307.07	Facility		$1,136.75	$1,574.84	$2,307.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,255.80 / $1,861.80 / $2,929.23	Professional		$1,255.80	$1,861.80	$2,929.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,259.06 / $1,834.80 / $2,235.12	Facility		$1,259.06	$1,834.80	$2,235.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,136.75 / $1,574.84 / $2,834.30	Facility		$1,136.75	$1,574.84	$2,834.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,471.01 / $2,206.86 / $3,038.76	Professional		$1,471.01	$2,206.86	$3,038.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,240.18 / $5,240.18 / $5,240.18	Facility		$5,240.18	$5,240.18	$5,240.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,031.44 / $2,603.75 / $3,499.46	Professional		$2,031.44	$2,603.75	$3,499.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,313.94 / $2,067.12 / $3,237.24	Professional		$1,313.94	$2,067.12	$3,237.24