Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,360.59 / $7,920.26 / $20,400.00	Facility		$2,360.59	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $863.39 / $1,622.10 / $3,387.65	Professional		$863.39	$1,622.10	$3,387.65
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 $1,007.60 / $1,651.26 / $2,793.60	Professional		$1,007.60	$1,651.26	$2,793.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,072.19 / $2,222.29 / $2,472.41	Professional		$1,072.19	$2,222.29	$2,472.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,072.19 / $1,661.89 / $2,799.01	Facility		$1,072.19	$1,661.89	$2,799.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,496.22 / $1,727.94 / $3,198.27	Professional		$1,496.22	$1,727.94	$3,198.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,297.20 / $1,873.95 / $2,120.55	Facility		$1,297.20	$1,873.95	$2,120.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,206.08 / $2,349.73 / $6,437.00	Facility		$1,206.08	$2,349.73	$6,437.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,504.98 / $2,031.23 / $2,793.60	Professional		$1,504.98	$2,031.23	$2,793.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,813.93 / $11,944.47 / $14,473.89	Facility		$8,813.93	$11,944.47	$14,473.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,934.88 / $2,075.61 / $2,862.23	Professional		$1,934.88	$2,075.61	$2,862.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $25,015.00	Facility		$2,155.00	$12,835.00	$25,015.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,192.82 / $1,864.20 / $2,821.97	Professional		$1,192.82	$1,864.20	$2,821.97