Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,411.80 / $7,920.26 / $20,400.00	Facility		$2,411.80	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $887.87 / $1,682.86 / $3,678.99	Professional		$887.87	$1,682.86	$3,678.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.00 / $691.00 / $691.00	Facility		$691.00	$691.00	$691.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,076.01 / $1,774.80 / $2,884.25	Professional		$1,076.01	$1,774.80	$2,884.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,091.69 / $2,271.19 / $2,523.55	Professional		$1,091.69	$2,271.19	$2,523.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,091.69 / $1,692.12 / $2,824.93	Facility		$1,091.69	$1,692.12	$2,824.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,589.16 / $1,796.40 / $3,267.39	Professional		$1,589.16	$1,796.40	$3,267.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,419.53 / $2,001.96 / $2,167.44	Facility		$1,419.53	$2,001.96	$2,167.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,280.63 / $2,408.13 / $6,437.00	Facility		$1,280.63	$2,408.13	$6,437.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,615.68 / $2,081.07 / $2,865.45	Professional		$1,615.68	$2,081.07	$2,865.45
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 $1,976.70 / $2,121.51 / $2,928.79	Professional		$1,976.70	$2,121.51	$2,928.79
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 $1,362.63 / $1,969.97 / $2,875.35	Professional		$1,362.63	$1,969.97	$2,875.35