Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,717.56 / $7,920.26 / $20,400.00	Facility		$2,717.56	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $976.48 / $1,873.47 / $3,976.27	Professional		$976.48	$1,873.47	$3,976.27
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 $1,161.82 / $1,914.60 / $3,213.55	Professional		$1,161.82	$1,914.60	$3,213.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,230.64 / $2,554.17 / $2,837.97	Professional		$1,230.64	$2,554.17	$2,837.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.64 / $1,907.49 / $2,679.06	Facility		$1,230.64	$1,907.49	$2,679.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,701.70 / $1,972.14 / $3,681.18	Professional		$1,701.70	$1,972.14	$3,681.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,515.29 / $2,114.52 / $2,442.82	Facility		$1,515.29	$2,114.52	$2,442.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,424.08 / $2,641.98 / $6,437.00	Facility		$1,424.08	$2,641.98	$6,437.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,752.50 / $2,335.55 / $3,213.55	Professional		$1,752.50	$2,335.55	$3,213.55
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 $2,227.03 / $2,391.05 / $3,294.39	Professional		$2,227.03	$2,391.05	$3,294.39
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,484.00 / $2,167.75 / $3,281.48	Professional		$1,484.00	$2,167.75	$3,281.48