Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $20,400.00	Facility		$2,747.00	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,142.61 / $1,773.78 / $4,534.56	Professional		$1,142.61	$1,773.78	$4,534.56
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 $1,567.06 / $2,744.92 / $4,136.05	Professional		$1,567.06	$2,744.92	$4,136.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,659.96 / $3,115.67 / $3,737.92	Professional		$2,659.96	$3,115.67	$3,737.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,685.54 / $2,438.35 / $3,246.15	Facility		$1,685.54	$2,438.35	$3,246.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,101.40 / $2,418.00 / $3,782.51	Professional		$2,101.40	$2,418.00	$3,782.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,778.60 / $2,566.37 / $2,898.42	Facility		$1,778.60	$2,566.37	$2,898.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,841.26 / $2,591.73 / $7,090.00	Facility		$1,841.26	$2,591.73	$7,090.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,359.03 / $2,919.62 / $3,977.16	Professional		$2,359.03	$2,919.62	$3,977.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,365.28	Facility		$3,820.30	$4,901.89	$6,365.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,633.10 / $3,376.44 / $4,537.97	Professional		$2,633.10	$3,376.44	$4,537.97
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 $1,962.72 / $2,895.38 / $4,556.43	Professional		$1,962.72	$2,895.38	$4,556.43