Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,021.58 / $7,920.26 / $20,400.00	Facility		$2,021.58	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $682.02 / $1,388.65 / $2,886.72	Professional		$682.02	$1,388.65	$2,886.72
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 $861.07 / $1,350.20 / $2,395.17	Professional		$861.07	$1,350.20	$2,395.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $910.77 / $1,879.08 / $2,100.19	Professional		$910.77	$1,879.08	$2,100.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $910.77 / $1,411.69 / $2,169.61	Facility		$910.77	$1,411.69	$2,169.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,211.09 / $1,419.15 / $2,739.78	Professional		$1,211.09	$1,419.15	$2,739.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,071.23 / $1,524.90 / $1,807.66	Facility		$1,071.23	$1,524.90	$1,807.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,063.54 / $1,964.03 / $6,437.00	Facility		$1,063.54	$1,964.03	$6,437.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,220.94 / $1,729.25 / $2,395.17	Professional		$1,220.94	$1,729.25	$2,395.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,454.55 / $6,944.43 / $8,747.84	Facility		$5,454.55	$6,944.43	$8,747.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,657.50 / $1,769.35 / $2,451.91	Professional		$1,657.50	$1,769.35	$2,451.91
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 $1,044.61 / $1,548.96 / $2,352.12	Professional		$1,044.61	$1,548.96	$2,352.12