Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,122.25 / $7,920.26 / $20,400.00	Facility		$2,122.25	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $924.28 / $1,111.24 / $2,727.31	Professional		$924.28	$1,111.24	$2,727.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,267.98 / $2,065.52 / $3,158.63	Professional		$1,267.98	$2,065.52	$3,158.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,977.07 / $2,318.94 / $2,778.29	Professional		$1,977.07	$2,318.94	$2,778.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,491.37 / $1,940.28 / $2,572.10	Facility		$1,491.37	$1,940.28	$2,572.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,733.51 / $1,883.84 / $2,836.65	Professional		$1,733.51	$1,883.84	$2,836.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,472.40 / $2,034.79 / $2,160.08	Facility		$1,472.40	$2,034.79	$2,160.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,491.37 / $2,132.66 / $8,647.00	Facility		$1,491.37	$2,132.66	$8,647.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,863.18 / $2,177.36 / $2,960.60	Professional		$1,863.18	$2,177.36	$2,960.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,969.32 / $2,516.33 / $3,381.98	Professional		$1,969.32	$2,516.33	$3,381.98
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 $1,483.20 / $2,138.61 / $3,317.28	Professional		$1,483.20	$2,138.61	$3,317.28