Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,470.31 / $7,920.26 / $21,735.00	Facility		$2,470.31	$7,920.26	$21,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.97 / $1,565.91 / $2,997.03	Professional		$1,023.97	$1,565.91	$2,997.03
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 $1,341.05 / $2,153.63 / $3,337.65	Professional		$1,341.05	$2,153.63	$3,337.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,085.58 / $2,442.89 / $2,930.76	Professional		$2,085.58	$2,442.89	$2,930.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,498.46 / $2,032.36 / $2,722.55	Facility		$1,498.46	$2,032.36	$2,722.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,743.48 / $1,978.38 / $2,979.02	Professional		$1,743.48	$1,978.38	$2,979.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,559.61 / $2,145.34 / $2,275.98	Facility		$1,559.61	$2,145.34	$2,275.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,523.03 / $2,239.25 / $8,647.00	Facility		$1,523.03	$2,239.25	$8,647.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,964.44 / $2,282.85 / $3,109.26	Professional		$1,964.44	$2,282.85	$3,109.26
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 $2,069.58 / $2,651.36 / $3,563.45	Professional		$2,069.58	$2,651.36	$3,563.45
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 $1,505.87 / $2,222.23 / $3,486.13	Professional		$1,505.87	$2,222.23	$3,486.13