Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $21,735.00	Facility		$2,747.00	$7,920.26	$21,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,159.52 / $1,791.91 / $4,051.27	Professional		$1,159.52	$1,791.91	$4,051.27
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 $1,531.87 / $2,456.85 / $3,810.59	Professional		$1,531.87	$2,456.85	$3,810.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,383.05 / $2,791.32 / $3,348.79	Professional		$2,383.05	$2,791.32	$3,348.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,618.51 / $2,324.38 / $3,070.20	Facility		$1,618.51	$2,324.38	$3,070.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,939.53 / $2,264.32 / $3,412.21	Professional		$1,939.53	$2,264.32	$3,412.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,781.64 / $2,453.54 / $2,596.25	Facility		$1,781.64	$2,453.54	$2,596.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,700.21 / $2,543.52 / $8,647.00	Facility		$1,700.21	$2,543.52	$8,647.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,217.69 / $2,598.79 / $3,558.41	Professional		$2,217.69	$2,598.79	$3,558.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,543.33 / $42,249.68 / $50,743.40	Facility		$33,543.33	$42,249.68	$50,743.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,364.79 / $3,024.44 / $4,064.88	Professional		$2,364.79	$3,024.44	$4,064.88
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 $1,814.47 / $2,592.11 / $3,983.41	Professional		$1,814.47	$2,592.11	$3,983.41