Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,320.60 / $7,920.26 / $20,400.00	Facility		$2,320.60	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $971.76 / $1,466.49 / $3,300.32	Professional		$971.76	$1,466.49	$3,300.32
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 $1,189.65 / $2,047.55 / $2,949.77	Professional		$1,189.65	$2,047.55	$2,949.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,945.77 / $2,279.13 / $2,734.31	Professional		$1,945.77	$2,279.13	$2,734.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,308.08 / $1,989.89 / $2,801.60	Facility		$1,308.08	$1,989.89	$2,801.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,673.74 / $1,834.88 / $2,738.85	Professional		$1,673.74	$1,834.88	$2,738.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,583.00 / $1,947.69 / $2,194.25	Facility		$1,583.00	$1,947.69	$2,194.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,308.08 / $2,009.04 / $2,801.60	Facility		$1,308.08	$2,009.04	$2,801.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,828.83 / $2,149.81 / $2,876.84	Professional		$1,828.83	$2,149.81	$2,876.84
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 $1,923.20 / $2,435.16 / $3,272.88	Professional		$1,923.20	$2,435.16	$3,272.88
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 $1,482.56 / $2,119.19 / $3,295.85	Professional		$1,482.56	$2,119.19	$3,295.85