Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,345.62 / $7,920.26 / $20,400.00	Facility		$2,345.62	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,039.49 / $1,618.79 / $3,634.60	Professional		$1,039.49	$1,618.79	$3,634.60
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 $1,370.66 / $2,237.67 / $3,332.67	Professional		$1,370.66	$2,237.67	$3,332.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,133.10 / $2,499.54 / $2,997.54	Professional		$2,133.10	$2,499.54	$2,997.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,573.64 / $2,031.74 / $2,753.66	Facility		$1,573.64	$2,031.74	$2,753.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,771.32 / $1,975.55 / $2,979.88	Professional		$1,771.32	$1,975.55	$2,979.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,479.66 / $2,055.64 / $2,270.63	Facility		$1,479.66	$2,055.64	$2,270.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,618.79 / $2,205.23 / $5,949.00	Facility		$1,618.79	$2,205.23	$5,949.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,958.22 / $2,311.13 / $3,138.21	Professional		$1,958.22	$2,311.13	$3,138.21
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 $2,060.96 / $2,645.11 / $3,555.06	Professional		$2,060.96	$2,645.11	$3,555.06
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 $1,580.88 / $2,278.38 / $3,471.63	Professional		$1,580.88	$2,278.38	$3,471.63