Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,246.05 / $7,920.26 / $20,400.00	Facility		$2,246.05	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,051.68 / $1,578.68 / $3,562.45	Professional		$1,051.68	$1,578.68	$3,562.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,426.76 / $2,194.55 / $3,353.32	Professional		$1,426.76	$2,194.55	$3,353.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,091.77 / $2,452.96 / $2,939.46	Professional		$2,091.77	$2,452.96	$2,939.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,499.75 / $2,170.11 / $2,829.47	Facility		$1,499.75	$2,170.11	$2,829.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,831.20 / $2,021.20 / $3,000.86	Professional		$1,831.20	$2,021.20	$3,000.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,562.51 / $2,160.08 / $2,284.69	Facility		$1,562.51	$2,160.08	$2,284.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,527.46 / $2,327.44 / $5,949.00	Facility		$1,527.46	$2,327.44	$5,949.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,013.05 / $2,307.73 / $3,131.40	Professional		$2,013.05	$2,307.73	$3,131.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,873.02 / $21,418.17 / $26,781.36	Facility		$11,873.02	$21,418.17	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,082.50 / $2,661.50 / $3,577.09	Professional		$2,082.50	$2,661.50	$3,577.09
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 $1,534.55 / $2,301.83 / $3,602.36	Professional		$1,534.55	$2,301.83	$3,602.36