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 $1,112.78 / $1,699.85 / $3,844.59	Professional		$1,112.78	$1,699.85	$3,844.59
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 $1,446.25 / $2,348.80 / $3,600.01	Professional		$1,446.25	$2,348.80	$3,600.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,258.12 / $2,648.13 / $3,173.23	Professional		$2,258.12	$2,648.13	$3,173.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,622.47 / $2,205.34 / $2,951.20	Facility		$1,622.47	$2,205.34	$2,951.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,948.80 / $2,151.21 / $3,239.27	Professional		$1,948.80	$2,151.21	$3,239.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,676.49 / $2,299.05 / $2,465.60	Facility		$1,676.49	$2,299.05	$2,465.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,614.86 / $2,288.16 / $3,134.64	Facility		$1,614.86	$2,288.16	$3,134.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,120.62 / $2,473.85 / $3,379.34	Professional		$2,120.62	$2,473.85	$3,379.34
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 $2,246.69 / $2,872.24 / $3,860.32	Professional		$2,246.69	$2,872.24	$3,860.32
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 $1,774.33 / $2,435.31 / $3,886.42	Professional		$1,774.33	$2,435.31	$3,886.42