Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,539.39 / $7,920.26 / $20,400.00	Facility		$2,539.39	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,165.60 / $1,786.84 / $4,014.50	Professional		$1,165.60	$1,786.84	$4,014.50
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 $1,520.65 / $2,447.92 / $3,764.38	Professional		$1,520.65	$2,447.92	$3,764.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,360.44 / $2,766.57 / $3,317.01	Professional		$2,360.44	$2,766.57	$3,317.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,701.99 / $2,258.64 / $2,894.94	Facility		$1,701.99	$2,258.64	$2,894.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,890.80 / $2,239.38 / $3,372.03	Professional		$1,890.80	$2,239.38	$3,372.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,579.47 / $2,223.00 / $2,564.76	Facility		$1,579.47	$2,223.00	$2,564.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,701.99 / $2,303.92 / $3,276.23	Facility		$1,701.99	$2,303.92	$3,276.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,190.19 / $2,573.87 / $3,515.25	Professional		$2,190.19	$2,573.87	$3,515.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,457.51 / $16,215.85 / $21,922.68	Facility		$6,457.51	$16,215.85	$21,922.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,347.57 / $2,987.75 / $4,015.57	Professional		$2,347.57	$2,987.75	$4,015.57
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 $1,756.72 / $2,496.19 / $3,954.40	Professional		$1,756.72	$2,496.19	$3,954.40