Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,444.25 / $7,920.26 / $20,400.00	Facility		$2,444.25	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $944.65 / $1,502.10 / $3,544.47	Professional		$944.65	$1,502.10	$3,544.47
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 $1,273.08 / $2,103.44 / $3,358.23	Professional		$1,273.08	$2,103.44	$3,358.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,090.69 / $2,448.88 / $2,937.96	Professional		$2,090.69	$2,448.88	$2,937.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,306.66 / $1,969.20 / $2,599.56	Facility		$1,306.66	$1,969.20	$2,599.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.80 / $1,983.49 / $3,060.23	Professional		$1,621.80	$1,983.49	$3,060.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,439.29 / $2,048.86 / $2,332.27	Facility		$1,439.29	$2,048.86	$2,332.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,306.66 / $2,031.12 / $2,949.29	Facility		$1,306.66	$2,031.12	$2,949.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,873.24 / $2,295.00 / $3,175.79	Professional		$1,873.24	$2,295.00	$3,175.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,397.43 / $20,285.91 / $26,041.52	Facility		$9,397.43	$20,285.91	$26,041.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,113.85 / $2,716.92 / $3,651.57	Professional		$2,113.85	$2,716.92	$3,651.57
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,517.95 / $2,228.69 / $3,560.72	Professional		$1,517.95	$2,228.69	$3,560.72