Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,319.85 / $7,920.26 / $20,400.00	Facility		$2,319.85	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,085.76 / $1,630.86 / $3,680.18	Professional		$1,085.76	$1,630.86	$3,680.18
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 $1,467.82 / $2,267.58 / $3,463.46	Professional		$1,467.82	$2,267.58	$3,463.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,161.44 / $2,534.13 / $3,037.37	Professional		$2,161.44	$2,534.13	$3,037.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,579.33 / $2,242.40 / $2,881.76	Facility		$1,579.33	$2,242.40	$2,881.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,891.20 / $2,088.16 / $3,099.55	Professional		$1,891.20	$2,088.16	$3,099.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,619.68 / $2,231.77 / $2,359.73	Facility		$1,619.68	$2,231.77	$2,359.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,630.86 / $2,362.56 / $4,057.92	Facility		$1,630.86	$2,362.56	$4,057.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,081.30 / $2,379.73 / $3,234.25	Professional		$2,081.30	$2,379.73	$3,234.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $28,333.44	Facility		$16,860.72	$22,602.85	$28,333.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,148.92 / $2,748.92 / $3,694.58	Professional		$2,148.92	$2,748.92	$3,694.58
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $20,708.00 / $26,830.35	Facility		$3,028.00	$20,708.00	$26,830.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,685.50 / $2,331.69 / $3,619.79	Professional		$1,685.50	$2,331.69	$3,619.79