Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,356.77 / $7,920.26 / $53,845.61	Facility		$2,356.77	$7,920.26	$53,845.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,215.06 / $1,732.57 / $3,579.91	Professional		$1,215.06	$1,732.57	$3,579.91
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 $1,625.05 / $2,629.78 / $4,047.57	Professional		$1,625.05	$2,629.78	$4,047.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,543.03 / $2,981.18 / $3,573.60	Professional		$2,543.03	$2,981.18	$3,573.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,916.08 / $2,586.71 / $3,760.71	Facility		$1,916.08	$2,586.71	$3,760.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,227.80 / $2,421.50 / $3,646.27	Professional		$2,227.80	$2,421.50	$3,646.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,919.59 / $2,630.42 / $2,773.80	Facility		$1,919.59	$2,630.42	$2,773.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,916.08 / $2,628.00 / $3,525.93	Facility		$1,916.08	$2,628.00	$3,525.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,383.54 / $2,793.14 / $3,801.76	Professional		$2,383.54	$2,793.14	$3,801.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,543.33 / $42,249.68 / $50,743.40	Facility		$33,543.33	$42,249.68	$50,743.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,527.16 / $3,231.27 / $4,342.85	Professional		$2,527.16	$3,231.27	$4,342.85
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 $1,824.82 / $2,737.22 / $4,278.00	Professional		$1,824.82	$2,737.22	$4,278.00