Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,034.21 / $7,920.26 / $20,400.00	Facility		$2,034.21	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $906.90 / $1,422.06 / $2,739.79	Professional		$906.90	$1,422.06	$2,739.79
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 $1,191.24 / $1,960.61 / $3,046.51	Professional		$1,191.24	$1,960.61	$3,046.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,878.99 / $2,210.42 / $2,640.45	Professional		$1,878.99	$2,210.42	$2,640.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,204.53 / $1,824.44 / $2,504.94	Facility		$1,204.53	$1,824.44	$2,504.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,384.68 / $1,803.75 / $2,717.87	Professional		$1,384.68	$1,803.75	$2,717.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,365.68 / $1,949.28 / $2,075.66	Facility		$1,365.68	$1,949.28	$2,075.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,225.16 / $2,038.24 / $5,217.00	Facility		$1,225.16	$2,038.24	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,760.22 / $2,107.00 / $2,848.45	Professional		$1,760.22	$2,107.00	$2,848.45
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 $1,903.52 / $2,417.98 / $3,249.80	Professional		$1,903.52	$2,417.98	$3,249.80
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 $1,474.90 / $2,159.61 / $3,292.77	Professional		$1,474.90	$2,159.61	$3,292.77