Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,366.55 / $7,920.26 / $20,400.00	Facility		$2,366.55	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,050.27 / $1,588.67 / $3,749.91	Professional		$1,050.27	$1,588.67	$3,749.91
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 $1,348.14 / $2,259.94 / $3,348.97	Professional		$1,348.14	$2,259.94	$3,348.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,201.23 / $2,581.86 / $3,097.50	Professional		$2,201.23	$2,581.86	$3,097.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,588.67 / $2,115.00 / $2,755.70	Facility		$1,588.67	$2,115.00	$2,755.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,794.60 / $2,031.74 / $3,117.02	Professional		$1,794.60	$2,031.74	$3,117.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,558.64 / $2,155.39 / $2,391.90	Facility		$1,558.64	$2,155.39	$2,391.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,593.00 / $2,304.61 / $5,949.00	Facility		$1,593.00	$2,304.61	$5,949.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,986.34 / $2,403.06 / $3,288.00	Professional		$1,986.34	$2,403.06	$3,288.00
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 $2,132.02 / $2,786.39 / $3,744.93	Professional		$2,132.02	$2,786.39	$3,744.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,630.23 / $2,262.36 / $3,761.71	Professional		$1,630.23	$2,262.36	$3,761.71