Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,116.62 / $20,400.00	Facility		$2,747.00	$5,116.62	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,488.50 / $2,288.28 / $5,323.48	Professional		$1,488.50	$2,288.28	$5,323.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.00 / $1,184.00 / $1,184.00	Facility		$1,184.00	$1,184.00	$1,184.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,023.32 / $3,255.56 / $4,921.81	Professional		$2,023.32	$3,255.56	$4,921.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,016.13 / $3,536.65 / $4,238.42	Professional		$3,016.13	$3,536.65	$4,238.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,244.38 / $2,973.21 / $4,185.39	Facility		$2,244.38	$2,973.21	$4,185.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,530.62 / $2,872.16 / $4,304.54	Professional		$2,530.62	$2,872.16	$4,304.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,389.73 / $3,153.02 / $3,353.35	Facility		$2,389.73	$3,153.02	$3,353.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,244.88 / $3,272.24 / $5,766.59	Facility		$2,244.88	$3,272.24	$5,766.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,930.74 / $3,369.80 / $4,529.52	Professional		$2,930.74	$3,369.80	$4,529.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $44,945.62 / $65,879.63 / $78,393.52	Facility		$44,945.62	$65,879.63	$78,393.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,075.77 / $3,906.40 / $5,250.25	Professional		$3,075.77	$3,906.40	$5,250.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $17,192.00 / $24,231.00	Facility		$2,912.00	$17,192.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,305.94 / $3,317.73 / $5,181.04	Professional		$2,305.94	$3,317.73	$5,181.04