Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $2,691.77 / $3,248.00	Facility		$1,450.00	$2,691.77	$3,248.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $835.20 / $986.00 / $2,262.00	Professional		$835.20	$986.00	$2,262.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,885.00 / $1,885.00 / $3,370.38	Facility		$1,885.00	$1,885.00	$3,370.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $649.60 / $1,561.02 / $2,276.19	Professional		$649.60	$1,561.02	$2,276.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,160.00 / $2,546.84 / $3,051.95	Professional		$1,160.00	$2,546.84	$3,051.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $870.00 / $1,218.00 / $2,552.00	Facility		$870.00	$1,218.00	$2,552.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,160.00 / $1,276.00 / $1,566.00	Professional		$1,160.00	$1,276.00	$1,566.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,160.00 / $1,160.00 / $2,436.00	Facility		$1,160.00	$1,160.00	$2,436.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,218.00 / $1,467.40 / $2,825.32	Facility		$1,218.00	$1,467.40	$2,825.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,276.00 / $1,334.00 / $1,670.40	Professional		$1,276.00	$1,334.00	$1,670.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,262.00 / $3,529.88 / $4,792.42	Facility		$2,262.00	$3,529.88	$4,792.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,048.67 / $2,281.04 / $3,648.23	Professional		$2,048.67	$2,281.04	$3,648.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,740.00 / $1,740.00 / $1,856.00	Facility		$1,740.00	$1,740.00	$1,856.00
United Facility/Professional Professional Modifier Low / Median / High Price $487.20 / $487.20 / $1,218.00	Professional		$487.20	$487.20	$1,218.00