Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,540.30 / $7,920.26 / $20,400.00	Facility		$2,540.30	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,099.22 / $1,560.64 / $3,281.05	Professional		$1,099.22	$1,560.64	$3,281.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,527.80 / $2,449.17 / $3,790.93	Professional		$1,527.80	$2,449.17	$3,790.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,364.69 / $2,774.51 / $3,323.01	Professional		$2,364.69	$2,774.51	$3,323.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,701.00 / $2,310.73 / $3,123.75	Facility		$1,701.00	$2,310.73	$3,123.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,033.13 / $2,254.46 / $3,394.74	Professional		$2,033.13	$2,254.46	$3,394.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,778.12 / $2,426.77 / $2,582.85	Facility		$1,778.12	$2,426.77	$2,582.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,695.28 / $2,363.76 / $3,260.78	Facility		$1,695.28	$2,363.76	$3,260.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,237.81 / $2,591.02 / $3,540.05	Professional		$2,237.81	$2,591.02	$3,540.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,397.43 / $20,285.91 / $26,041.52	Facility		$9,397.43	$20,285.91	$26,041.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,335.27 / $3,008.83 / $4,043.90	Professional		$2,335.27	$3,008.83	$4,043.90
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,838.48 / $2,570.39 / $3,983.61	Professional		$1,838.48	$2,570.39	$3,983.61