Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,094.00 / $6,091.90 / $22,795.42	Facility		$2,094.00	$6,091.90	$22,795.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,298.96 / $1,519.73 / $3,707.23	Professional		$1,298.96	$1,519.73	$3,707.23
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 $1,764.93 / $2,793.03 / $4,195.10	Professional		$1,764.93	$2,793.03	$4,195.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,662.97 / $3,119.20 / $3,742.15	Professional		$2,662.97	$3,119.20	$3,742.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,908.00 / $2,595.32 / $3,661.80	Facility		$1,908.00	$2,595.32	$3,661.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,242.46 / $2,497.79 / $3,746.68	Professional		$2,242.46	$2,497.79	$3,746.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,045.49 / $2,742.98 / $2,881.67	Facility		$2,045.49	$2,742.98	$2,881.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,908.00 / $2,675.52 / $3,670.09	Facility		$1,908.00	$2,675.52	$3,670.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,546.94 / $2,942.94 / $3,932.45	Professional		$2,546.94	$2,942.94	$3,932.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,191.34 / $18,246.18 / $23,193.18	Facility		$11,191.34	$18,246.18	$23,193.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,630.48 / $3,329.61 / $4,475.03	Professional		$2,630.48	$3,329.61	$4,475.03
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 $2,006.06 / $2,984.53 / $4,430.97	Professional		$2,006.06	$2,984.53	$4,430.97