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 $1,270.68 / $1,950.15 / $4,395.18	Professional		$1,270.68	$1,950.15	$4,395.18
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 $1,673.09 / $2,676.15 / $4,140.03	Professional		$1,673.09	$2,676.15	$4,140.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,576.80 / $3,026.56 / $3,621.06	Professional		$2,576.80	$3,026.56	$3,621.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,860.89 / $2,520.30 / $3,442.50	Facility		$1,860.89	$2,520.30	$3,442.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,165.40 / $2,404.19 / $3,705.64	Professional		$2,165.40	$2,404.19	$3,705.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,960.29 / $2,657.99 / $2,820.70	Facility		$1,960.29	$2,657.99	$2,820.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,852.64 / $2,581.19 / $3,588.57	Facility		$1,852.64	$2,581.19	$3,588.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,401.09 / $2,837.64 / $3,866.04	Professional		$2,401.09	$2,837.64	$3,866.04
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 $2,572.06 / $3,285.90 / $4,416.29	Professional		$2,572.06	$3,285.90	$4,416.29
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 $1,944.48 / $2,876.22 / $4,368.60	Professional		$1,944.48	$2,876.22	$4,368.60