Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,528.00 / $7,920.26 / $20,400.00	Facility		$2,528.00	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,231.13 / $1,905.47 / $4,885.55	Professional		$1,231.13	$1,905.47	$4,885.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.00 / $1,184.00 / $1,184.00	Facility		$1,184.00	$1,184.00	$1,184.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,722.78 / $2,950.45 / $4,444.71	Professional		$1,722.78	$2,950.45	$4,444.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,870.98 / $3,362.85 / $4,034.46	Professional		$2,870.98	$3,362.85	$4,034.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,853.92 / $2,679.12 / $3,586.68	Facility		$1,853.92	$2,679.12	$3,586.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,210.34 / $2,642.96 / $4,077.70	Professional		$2,210.34	$2,642.96	$4,077.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,973.00 / $2,840.88 / $3,121.53	Facility		$1,973.00	$2,840.88	$3,121.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,905.47 / $2,787.91 / $7,090.00	Facility		$1,905.47	$2,787.91	$7,090.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,558.75 / $3,135.71 / $4,290.45	Professional		$2,558.75	$3,135.71	$4,290.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $9,638.43 / $12,117.15	Facility		$7,715.78	$9,638.43	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,829.60 / $3,636.35 / $4,887.29	Professional		$2,829.60	$3,636.35	$4,887.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,168.52 / $3,074.20 / $4,942.88	Professional		$2,168.52	$3,074.20	$4,942.88