Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,326.19 / $7,920.26 / $20,400.00	Facility		$2,326.19	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,077.47 / $1,632.56 / $3,006.14	Professional		$1,077.47	$1,632.56	$3,006.14
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 $1,401.22 / $2,261.36 / $3,464.45	Professional		$1,401.22	$2,261.36	$3,464.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,159.35 / $2,536.06 / $3,034.43	Professional		$2,159.35	$2,536.06	$3,034.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,609.71 / $2,125.89 / $2,854.30	Facility		$1,609.71	$2,125.89	$2,854.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,886.88 / $2,069.86 / $3,104.78	Professional		$1,886.88	$2,069.86	$3,104.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,641.97 / $2,227.65 / $2,360.41	Facility		$1,641.97	$2,227.65	$2,360.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,609.71 / $2,213.28 / $3,010.21	Facility		$1,609.71	$2,213.28	$3,010.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,055.90 / $2,392.63 / $3,241.39	Professional		$2,055.90	$2,392.63	$3,241.39
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 $2,156.91 / $2,749.70 / $3,695.63	Professional		$2,156.91	$2,749.70	$3,695.63
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 $1,664.52 / $2,356.89 / $3,633.24	Professional		$1,664.52	$2,356.89	$3,633.24