Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,107.00 / $7,920.26 / $21,735.00	Facility		$3,107.00	$7,920.26	$21,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,488.43 / $2,270.44 / $5,040.75	Professional		$1,488.43	$2,270.44	$5,040.75
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 $1,923.93 / $3,108.08 / $4,713.34	Professional		$1,923.93	$3,108.08	$4,713.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,975.46 / $3,485.23 / $4,181.28	Professional		$2,975.46	$3,485.23	$4,181.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,856.93 / $2,887.34 / $3,896.40	Facility		$1,856.93	$2,887.34	$3,896.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,545.92 / $2,809.30 / $4,213.93	Professional		$2,545.92	$2,809.30	$4,213.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,124.90 / $3,055.20 / $3,211.31	Facility		$2,124.90	$3,055.20	$3,211.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,007.10 / $3,194.48 / $8,647.00	Facility		$2,007.10	$3,194.48	$8,647.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,821.58 / $3,297.25 / $4,489.43	Professional		$2,821.58	$3,297.25	$4,489.43
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 $2,949.68 / $3,740.94 / $5,027.85	Professional		$2,949.68	$3,740.94	$5,027.85
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 $2,203.82 / $3,160.85 / $5,054.99	Professional		$2,203.82	$3,160.85	$5,054.99