Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $5,740.00 / $21,816.66	Facility		$1,924.00	$5,740.00	$21,816.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,328.43 / $1,590.07 / $4,089.46	Professional		$1,328.43	$1,590.07	$4,089.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,846.06 / $3,008.27 / $4,540.26	Professional		$1,846.06	$3,008.27	$4,540.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,878.74 / $3,379.29 / $4,045.37	Professional		$2,878.74	$3,379.29	$4,045.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,006.39 / $2,814.18 / $3,862.40	Facility		$2,006.39	$2,814.18	$3,862.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,348.16 / $2,709.74 / $4,064.61	Professional		$2,348.16	$2,709.74	$4,064.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,072.00 / $2,906.46 / $3,098.08	Facility		$2,072.00	$2,906.46	$3,098.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,006.39 / $2,856.24 / $3,967.00	Facility		$2,006.39	$2,856.24	$3,967.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,710.48 / $3,165.08 / $4,286.62	Professional		$2,710.48	$3,165.08	$4,286.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,457.51 / $15,013.51 / $20,493.73	Facility		$6,457.51	$15,013.51	$20,493.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,843.28 / $3,603.57 / $4,843.22	Professional		$2,843.28	$3,603.57	$4,843.22
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,221.51 / $3,055.25 / $4,845.27	Professional		$2,221.51	$3,055.25	$4,845.27