Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,427.58 / $7,920.26 / $20,400.00	Facility		$2,427.58	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,013.19 / $1,539.40 / $3,465.08	Professional		$1,013.19	$1,539.40	$3,465.08
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 $1,270.31 / $2,134.98 / $3,149.37	Professional		$1,270.31	$2,134.98	$3,149.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,034.38 / $2,382.92 / $2,858.82	Professional		$2,034.38	$2,382.92	$2,858.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,338.85 / $2,050.67 / $2,969.05	Facility		$1,338.85	$2,050.67	$2,969.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,751.13 / $1,959.04 / $2,865.48	Professional		$1,751.13	$1,959.04	$2,865.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,595.09 / $2,056.90 / $2,343.66	Facility		$1,595.09	$2,056.90	$2,343.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,338.85 / $2,090.88 / $2,969.05	Facility		$1,338.85	$2,090.88	$2,969.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,968.81 / $2,289.69 / $3,009.32	Professional		$1,968.81	$2,289.69	$3,009.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,457.51 / $15,476.85 / $20,493.73	Facility		$6,457.51	$15,476.85	$20,493.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,011.77 / $2,556.92 / $3,436.52	Professional		$2,011.77	$2,556.92	$3,436.52
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 $1,535.00 / $2,238.03 / $3,388.75	Professional		$1,535.00	$2,238.03	$3,388.75