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 $906.83 / $1,397.08 / $3,544.47	Professional		$906.83	$1,397.08	$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 $1,207.46 / $2,103.44 / $3,358.23	Professional		$1,207.46	$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 $1,306.33 / $1,959.42 / $2,446.88	Facility		$1,306.33	$1,959.42	$2,446.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,552.80 / $1,946.40 / $3,060.23	Professional		$1,552.80	$1,946.40	$3,060.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,384.22 / $1,914.55 / $2,332.27	Facility		$1,384.22	$1,914.55	$2,332.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,306.33 / $1,991.70 / $2,949.29	Facility		$1,306.33	$1,991.70	$2,949.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,820.00 / $2,294.19 / $3,162.04	Professional		$1,820.00	$2,294.19	$3,162.04
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 $1,508.01 / $2,135.02 / $3,483.22	Professional		$1,508.01	$2,135.02	$3,483.22