Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,750.10 / $8,622.50 / $20,400.00	Facility		$1,750.10	$8,622.50	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $780.12 / $3,374.21 / $6,820.69	Professional		$780.12	$3,374.21	$6,820.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,319.76 / $3,988.07 / $11,318.40	Professional		$1,319.76	$3,988.07	$11,318.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,673.71 / $3,812.99 / $10,072.32	Professional		$1,673.71	$3,812.99	$10,072.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,132.51 / $2,522.26 / $9,448.78	Facility		$1,132.51	$2,522.26	$9,448.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,350.82 / $3,473.92 / $9,105.76	Professional		$1,350.82	$3,473.92	$9,105.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,592.52 / $7,327.59 / $8,145.19	Facility		$1,592.52	$7,327.59	$8,145.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,132.51 / $5,190.00 / $10,582.09	Facility		$1,132.51	$5,190.00	$10,582.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,497.60 / $4,823.56 / $10,728.84	Professional		$1,497.60	$4,823.56	$10,728.84
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 $1,514.92 / $2,696.15 / $11,683.62	Professional		$1,514.92	$2,696.15	$11,683.62
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 $5,414.43 / $8,093.71 / $12,996.88	Professional		$5,414.43	$8,093.71	$12,996.88