Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,549.92 / $5,649.00 / $15,341.00	Facility		$2,549.92	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $908.20 / $1,736.20 / $2,997.56	Professional		$908.20	$1,736.20	$2,997.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,176.56 / $1,957.65 / $3,055.23	Professional		$1,176.56	$1,957.65	$3,055.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,156.41 / $2,414.41 / $2,682.68	Professional		$1,156.41	$2,414.41	$2,682.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,156.41 / $1,967.07 / $2,969.32	Facility		$1,156.41	$1,967.07	$2,969.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,715.70 / $1,937.08 / $3,453.45	Professional		$1,715.70	$1,937.08	$3,453.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,407.00 / $2,144.04 / $2,296.76	Facility		$1,407.00	$2,144.04	$2,296.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,244.68 / $2,280.65 / $2,914.97	Facility		$1,244.68	$2,280.65	$2,914.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,773.86 / $2,208.05 / $3,053.28	Professional		$1,773.86	$2,208.05	$3,053.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,428.83 / $1,813.69 / $2,182.61	Facility		$1,428.83	$1,813.69	$2,182.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,089.26 / $2,248.08 / $3,159.91	Professional		$2,089.26	$2,248.08	$3,159.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,410.44 / $2,983.00 / $4,911.00	Facility		$1,410.44	$2,983.00	$4,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,494.84 / $2,174.69 / $3,102.23	Professional		$1,494.84	$2,174.69	$3,102.23