Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,527.10 / $7,920.26 / $20,400.00	Facility		$2,527.10	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,157.68 / $1,774.56 / $3,258.39	Professional		$1,157.68	$1,774.56	$3,258.39
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 $1,513.02 / $2,447.62 / $3,767.33	Professional		$1,513.02	$2,447.62	$3,767.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,346.14 / $2,753.98 / $3,296.92	Professional		$2,346.14	$2,753.98	$3,296.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,695.39 / $2,294.94 / $3,077.85	Facility		$1,695.39	$2,294.94	$3,077.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,019.56 / $2,246.85 / $3,370.28	Professional		$2,019.56	$2,246.85	$3,370.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,769.88 / $2,408.44 / $2,566.77	Facility		$1,769.88	$2,408.44	$2,566.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,685.83 / $2,391.12 / $3,265.07	Facility		$1,685.83	$2,391.12	$3,265.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,215.35 / $2,585.12 / $3,518.01	Professional		$2,215.35	$2,585.12	$3,518.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,472.03 / $9,164.84 / $11,765.12	Facility		$4,472.03	$9,164.84	$11,765.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,340.19 / $2,990.10 / $4,018.72	Professional		$2,340.19	$2,990.10	$4,018.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,803.69 / $2,576.71 / $3,969.60	Professional		$1,803.69	$2,576.71	$3,969.60