Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,182.56 / $7,920.26 / $20,400.00	Facility		$2,182.56	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $798.50 / $1,509.50 / $3,240.46	Professional		$798.50	$1,509.50	$3,240.46
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 $939.78 / $1,562.54 / $2,584.77	Professional		$939.78	$1,562.54	$2,584.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $989.45 / $2,053.50 / $2,281.67	Professional		$989.45	$2,053.50	$2,281.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $989.45 / $1,533.65 / $2,547.25	Facility		$989.45	$1,533.65	$2,547.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,401.55 / $1,599.09 / $2,956.32	Professional		$1,401.55	$1,599.09	$2,956.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,197.77 / $1,764.78 / $1,962.43	Facility		$1,197.77	$1,764.78	$1,962.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,156.84 / $2,177.28 / $6,437.00	Facility		$1,156.84	$2,177.28	$6,437.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,423.44 / $1,877.24 / $2,584.77	Professional		$1,423.44	$1,877.24	$2,584.77
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 $1,788.51 / $1,920.84 / $2,645.70	Professional		$1,788.51	$1,920.84	$2,645.70
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 $1,228.02 / $1,782.66 / $2,553.50	Professional		$1,228.02	$1,782.66	$2,553.50