Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,233.23 / $7,920.26 / $20,400.00	Facility		$2,233.23	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.78 / $1,569.75 / $3,542.96	Professional		$1,023.78	$1,569.75	$3,542.96
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 $1,338.82 / $2,182.71 / $3,334.56	Professional		$1,338.82	$2,182.71	$3,334.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,079.91 / $2,438.96 / $2,922.79	Professional		$2,079.91	$2,438.96	$2,922.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,493.51 / $2,129.35 / $2,725.95	Facility		$1,493.51	$2,129.35	$2,725.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,820.40 / $2,009.42 / $2,983.39	Professional		$1,820.40	$2,009.42	$2,983.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,523.75 / $2,107.15 / $2,271.96	Facility		$1,523.75	$2,107.15	$2,271.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,569.75 / $2,244.73 / $3,906.99	Facility		$1,569.75	$2,244.73	$3,906.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,961.45 / $2,289.56 / $3,113.96	Professional		$1,961.45	$2,289.56	$3,113.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,070.81 / $2,646.68 / $3,557.16	Professional		$2,070.81	$2,646.68	$3,557.16
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 $1,526.09 / $2,242.79 / $3,488.20	Professional		$1,526.09	$2,242.79	$3,488.20