Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $20,400.00	Facility		$2,747.00	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,242.67 / $1,947.67 / $4,240.99	Professional		$1,242.67	$1,947.67	$4,240.99
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 $1,677.09 / $2,655.41 / $3,921.19	Professional		$1,677.09	$2,655.41	$3,921.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,495.79 / $2,923.37 / $3,507.21	Professional		$2,495.79	$2,923.37	$3,507.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,698.13 / $2,536.44 / $3,428.05	Facility		$1,698.13	$2,536.44	$3,428.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,139.14 / $2,378.00 / $3,500.42	Professional		$2,139.14	$2,378.00	$3,500.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,936.55 / $2,621.65 / $2,717.96	Facility		$1,936.55	$2,621.65	$2,717.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,698.13 / $2,589.12 / $3,428.11	Facility		$1,698.13	$2,589.12	$3,428.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,431.01 / $2,766.24 / $3,760.10	Professional		$2,431.01	$2,766.24	$3,760.10
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 $2,457.04 / $3,110.29 / $4,180.27	Professional		$2,457.04	$3,110.29	$4,180.27
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 $2,003.79 / $2,769.94 / $4,138.81	Professional		$2,003.79	$2,769.94	$4,138.81