Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,574.94 / $4,962.67 / $15,341.00	Facility		$1,574.94	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $710.64 / $1,070.05 / $2,514.48	Professional		$710.64	$1,070.05	$2,514.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $932.91 / $1,526.42 / $2,338.62	Professional		$932.91	$1,526.42	$2,338.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,483.43 / $1,737.57 / $2,084.59	Professional		$1,483.43	$1,737.57	$2,084.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,016.55 / $1,443.98 / $1,913.35	Facility		$1,016.55	$1,443.98	$1,913.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,254.38 / $1,403.50 / $2,117.02	Professional		$1,254.38	$1,403.50	$2,117.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,098.84 / $1,519.56 / $1,609.34	Facility		$1,098.84	$1,519.56	$1,609.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,016.55 / $1,443.98 / $2,043.14	Facility		$1,016.55	$1,443.98	$2,043.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,360.80 / $1,603.18 / $2,200.75	Professional		$1,360.80	$1,603.18	$2,200.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,364.17 / $9,638.43 / $12,117.15	Facility		$6,364.17	$9,638.43	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,464.39 / $1,874.76 / $2,519.69	Professional		$1,464.39	$1,874.76	$2,519.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $25,015.00	Facility		$2,155.00	$12,835.00	$25,015.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,116.71 / $1,595.30 / $2,457.67	Professional		$1,116.71	$1,595.30	$2,457.67