Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,098.40 / $7,920.26 / $20,400.00	Facility		$2,098.40	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $981.21 / $1,479.12 / $3,320.82	Professional		$981.21	$1,479.12	$3,320.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $2,211.00 / $2,211.00	Facility		$2,211.00	$2,211.00	$2,211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,254.71 / $2,050.38 / $3,118.30	Professional		$1,254.71	$2,050.38	$3,118.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,968.63 / $2,305.90 / $2,766.42	Professional		$1,968.63	$2,305.90	$2,766.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,479.12 / $2,042.38 / $2,916.57	Facility		$1,479.12	$2,042.38	$2,916.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,717.50 / $1,876.74 / $2,810.46	Professional		$1,717.50	$1,876.74	$2,810.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,469.00 / $2,012.01 / $2,124.57	Facility		$1,469.00	$2,012.01	$2,124.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,479.12 / $2,192.34 / $2,916.57	Facility		$1,479.12	$2,192.34	$2,916.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,878.47 / $2,153.42 / $2,914.43	Professional		$1,878.47	$2,153.42	$2,914.43
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 $1,947.80 / $2,474.96 / $3,326.38	Professional		$1,947.80	$2,474.96	$3,326.38
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 $1,419.47 / $2,127.30 / $3,281.02	Professional		$1,419.47	$2,127.30	$3,281.02