Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,498.30 / $7,920.26 / $20,400.00	Facility		$2,498.30	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,137.03 / $1,750.41 / $3,363.77	Professional		$1,137.03	$1,750.41	$3,363.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,480.70 / $2,420.78 / $3,685.41	Professional		$1,480.70	$2,420.78	$3,685.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,353.77 / $2,757.02 / $3,307.64	Professional		$2,353.77	$2,757.02	$3,307.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,664.51 / $2,292.14 / $3,031.95	Facility		$1,664.51	$2,292.14	$3,031.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,891.80 / $2,220.84 / $3,361.55	Professional		$1,891.80	$2,220.84	$3,361.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,730.63 / $2,393.23 / $2,555.38	Facility		$1,730.63	$2,393.23	$2,555.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,666.53 / $2,495.48 / $4,394.35	Facility		$1,666.53	$2,495.48	$4,394.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,174.44 / $2,543.00 / $3,491.80	Professional		$2,174.44	$2,543.00	$3,491.80
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 $2,324.19 / $2,976.83 / $4,000.89	Professional		$2,324.19	$2,976.83	$4,000.89
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $20,708.00 / $25,733.64	Facility		$3,028.00	$20,708.00	$25,733.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,779.12 / $2,553.52 / $3,983.08	Professional		$1,779.12	$2,553.52	$3,983.08