Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,461.23 / $7,920.26 / $20,400.00	Facility		$2,461.23	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,022.24 / $1,565.44 / $3,537.98	Professional		$1,022.24	$1,565.44	$3,537.98
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 $1,340.51 / $2,144.57 / $3,328.74	Professional		$1,340.51	$2,144.57	$3,328.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,080.21 / $2,437.28 / $2,923.24	Professional		$2,080.21	$2,437.28	$2,923.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,473.68 / $2,029.88 / $2,988.00	Facility		$1,473.68	$2,029.88	$2,988.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,689.54 / $1,986.59 / $2,979.88	Professional		$1,689.54	$1,986.59	$2,979.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,547.28 / $2,099.88 / $2,267.94	Facility		$1,547.28	$2,099.88	$2,267.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,473.68 / $2,029.88 / $2,988.00	Facility		$1,473.68	$2,029.88	$2,988.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,922.58 / $2,272.32 / $3,108.45	Professional		$1,922.58	$2,272.32	$3,108.45
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 $2,064.65 / $2,641.99 / $3,550.87	Professional		$2,064.65	$2,641.99	$3,550.87
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 $1,551.19 / $2,189.13 / $3,477.84	Professional		$1,551.19	$2,189.13	$3,477.84