Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,363.07 / $7,920.26 / $20,400.00	Facility		$2,363.07	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,098.51 / $1,658.58 / $3,870.46	Professional		$1,098.51	$1,658.58	$3,870.46
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 $1,444.72 / $2,338.92 / $3,598.98	Professional		$1,444.72	$2,338.92	$3,598.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,274.08 / $2,666.29 / $3,195.66	Professional		$2,274.08	$2,666.29	$3,195.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,566.11 / $2,220.21 / $2,925.70	Facility		$1,566.11	$2,220.21	$2,925.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,850.28 / $2,158.21 / $3,261.11	Professional		$1,850.28	$2,158.21	$3,261.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,706.41 / $2,320.67 / $2,481.67	Facility		$1,706.41	$2,320.67	$2,481.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,575.65 / $2,371.77 / $5,217.00	Facility		$1,575.65	$2,371.77	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,088.60 / $2,477.36 / $3,355.08	Professional		$2,088.60	$2,477.36	$3,355.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,365.28	Facility		$3,820.30	$4,901.89	$6,365.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,242.56 / $2,890.97 / $3,885.50	Professional		$2,242.56	$2,890.97	$3,885.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,677.76 / $2,399.14 / $3,809.36	Professional		$1,677.76	$2,399.14	$3,809.36