Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,227.73 / $7,920.26 / $20,400.00	Facility		$2,227.73	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,050.82 / $1,500.26 / $2,863.97	Professional		$1,050.82	$1,500.26	$2,863.97
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 $1,356.13 / $2,164.06 / $3,348.41	Professional		$1,356.13	$2,164.06	$3,348.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,064.37 / $2,431.61 / $2,900.96	Professional		$2,064.37	$2,431.61	$2,900.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,557.35 / $2,096.91 / $2,769.30	Facility		$1,557.35	$2,096.91	$2,769.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,816.80 / $1,996.49 / $2,994.73	Professional		$1,816.80	$1,996.49	$2,994.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,597.88 / $2,151.67 / $2,281.35	Facility		$1,597.88	$2,151.67	$2,281.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,557.35 / $2,227.01 / $5,217.00	Facility		$1,557.35	$2,227.01	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,023.20 / $2,321.69 / $3,126.81	Professional		$2,023.20	$2,321.69	$3,126.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,536.02 / $8,364.56 / $10,637.18	Facility		$6,536.02	$8,364.56	$10,637.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,076.96 / $2,657.60 / $3,571.85	Professional		$2,076.96	$2,657.60	$3,571.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,604.74 / $2,292.50 / $3,498.57	Professional		$1,604.74	$2,292.50	$3,498.57