Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,216.19 / $8,815.44 / $20,400.00	Facility		$2,216.19	$8,815.44	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $725.33 / $1,025.19 / $2,216.19	Professional		$725.33	$1,025.19	$2,216.19
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 $968.79 / $1,472.04 / $2,620.92	Professional		$968.79	$1,472.04	$2,620.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $995.19 / $2,051.96 / $2,294.85	Professional		$995.19	$2,051.96	$2,294.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $995.19 / $1,542.54 / $2,373.23	Facility		$995.19	$1,542.54	$2,373.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,341.81 / $1,550.46 / $3,005.13	Professional		$1,341.81	$1,550.46	$3,005.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,167.16 / $1,679.02 / $1,977.84	Facility		$1,167.16	$1,679.02	$1,977.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,162.00 / $2,157.31 / $8,747.00	Facility		$1,162.00	$2,157.31	$8,747.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,333.98 / $1,899.23 / $2,620.92	Professional		$1,333.98	$1,899.23	$2,620.92
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 Facility Modifier 50 Low / Median / High Price $8,181.83 / $10,416.65 / $13,121.76	Facility	50	$8,181.83	$10,416.65	$13,121.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,818.02 / $1,935.92 / $2,689.37	Professional		$1,818.02	$1,935.92	$2,689.37
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 $1,084.50 / $1,659.45 / $2,573.56	Professional		$1,084.50	$1,659.45	$2,573.56