Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,195.01 / $9,972.00 / $20,400.00	Facility		$2,195.01	$9,972.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $814.70 / $1,533.11 / $3,370.00	Professional		$814.70	$1,533.11	$3,370.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $971.00 / $971.00 / $971.00	Facility		$971.00	$971.00	$971.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $992.30 / $1,621.34 / $2,629.95	Professional		$992.30	$1,621.34	$2,629.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $995.44 / $2,067.77 / $2,297.52	Professional		$995.44	$2,067.77	$2,297.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $995.44 / $1,544.22 / $2,574.09	Facility		$995.44	$1,544.22	$2,574.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.45 / $1,615.28 / $2,973.60	Professional		$1,412.45	$1,615.28	$2,973.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,294.17 / $1,823.74 / $1,973.82	Facility		$1,294.17	$1,823.74	$1,973.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,166.72 / $2,199.96 / $8,747.00	Facility		$1,166.72	$2,199.96	$8,747.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,472.38 / $1,893.94 / $2,607.35	Professional		$1,472.38	$1,893.94	$2,607.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,698.81 / $7,379.02 / $8,723.76	Facility		$5,698.81	$7,379.02	$8,723.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,798.96 / $1,931.99 / $2,661.23	Professional		$1,798.96	$1,931.99	$2,661.23
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 $1,245.50 / $1,800.65 / $2,612.67	Professional		$1,245.50	$1,800.65	$2,612.67