Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,096.69 / $4,962.67 / $15,341.00	Facility		$2,096.69	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $967.34 / $1,418.61 / $3,309.45	Professional		$967.34	$1,418.61	$3,309.45
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 $1,263.06 / $2,035.80 / $3,114.36	Professional		$1,263.06	$2,035.80	$3,114.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,931.22 / $2,268.46 / $2,713.85	Professional		$1,931.22	$2,268.46	$2,713.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,347.68 / $1,889.14 / $2,565.30	Facility		$1,347.68	$1,889.14	$2,565.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,623.60 / $1,842.66 / $2,774.66	Professional		$1,623.60	$1,842.66	$2,774.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,473.85 / $1,992.35 / $2,121.89	Facility		$1,473.85	$1,992.35	$2,121.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,413.69 / $2,028.61 / $3,065.00	Facility		$1,413.69	$2,028.61	$3,065.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,852.58 / $2,147.65 / $2,911.52	Professional		$1,852.58	$2,147.65	$2,911.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,527.70 / $20,006.47 / $24,937.25	Facility		$15,527.70	$20,006.47	$24,937.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,937.96 / $2,471.84 / $3,322.18	Professional		$1,937.96	$2,471.84	$3,322.18
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,522.00 / $2,107.32 / $3,282.66	Professional		$1,522.00	$2,107.32	$3,282.66