Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,209.75 / $7,920.26 / $20,400.00	Facility		$2,209.75	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,014.14 / $1,553.76 / $3,507.89	Professional		$1,014.14	$1,553.76	$3,507.89
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 $1,324.10 / $2,131.65 / $3,297.52	Professional		$1,324.10	$2,131.65	$3,297.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,060.42 / $2,415.25 / $2,895.43	Professional		$2,060.42	$2,415.25	$2,895.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,547.17 / $2,011.28 / $2,696.20	Facility		$1,547.17	$2,011.28	$2,696.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,799.40 / $1,961.56 / $2,953.69	Professional		$1,799.40	$1,961.56	$2,953.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,548.46 / $2,100.59 / $2,249.19	Facility		$1,548.46	$2,100.59	$2,249.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,547.17 / $2,071.44 / $2,859.19	Facility		$1,547.17	$2,071.44	$2,859.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,940.26 / $2,256.38 / $3,082.73	Professional		$1,940.26	$2,256.38	$3,082.73
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 $2,049.28 / $2,620.14 / $3,521.49	Professional		$2,049.28	$2,620.14	$3,521.49
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 $1,605.00 / $2,218.29 / $3,451.95	Professional		$1,605.00	$2,218.29	$3,451.95