Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,528.00 / $7,920.26 / $20,400.00	Facility		$2,528.00	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,133.08 / $1,585.75 / $3,330.17	Professional		$1,133.08	$1,585.75	$3,330.17
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 $1,523.22 / $2,401.98 / $3,609.00	Professional		$1,523.22	$2,401.98	$3,609.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,290.96 / $2,688.22 / $3,219.39	Professional		$2,290.96	$2,688.22	$3,219.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,754.81 / $2,238.82 / $3,146.85	Facility		$1,754.81	$2,238.82	$3,146.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,892.61 / $2,155.44 / $3,233.17	Professional		$1,892.61	$2,155.44	$3,233.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,648.75 / $2,311.15 / $2,498.42	Facility		$1,648.75	$2,311.15	$2,498.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,741.82 / $2,295.36 / $3,152.66	Facility		$1,741.82	$2,295.36	$3,152.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,193.75 / $2,539.57 / $3,408.01	Professional		$2,193.75	$2,539.57	$3,408.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,671.70 / $18,246.18 / $21,922.68	Facility		$13,671.70	$18,246.18	$21,922.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,259.62 / $2,864.43 / $3,849.83	Professional		$2,259.62	$2,864.43	$3,849.83
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 $1,748.25 / $2,468.83 / $3,858.53	Professional		$1,748.25	$2,468.83	$3,858.53