Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,528.00 / $7,920.26 / $20,400.00	Facility		$2,528.00	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,105.06 / $1,657.23 / $3,724.82	Professional		$1,105.06	$1,657.23	$3,724.82
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 $1,425.49 / $2,287.00 / $3,511.65	Professional		$1,425.49	$2,287.00	$3,511.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,178.21 / $2,562.90 / $3,060.94	Professional		$2,178.21	$2,562.90	$3,060.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,657.23 / $2,239.42 / $2,887.45	Facility		$1,657.23	$2,239.42	$2,887.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,919.25 / $2,114.44 / $3,140.59	Professional		$1,919.25	$2,114.44	$3,140.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,671.53 / $2,264.98 / $2,392.57	Facility		$1,671.53	$2,264.98	$2,392.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,657.23 / $2,259.90 / $3,049.69	Facility		$1,657.23	$2,259.90	$3,049.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,115.60 / $2,435.69 / $3,283.90	Professional		$2,115.60	$2,435.69	$3,283.90
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 $2,185.82 / $2,787.17 / $3,745.98	Professional		$2,185.82	$2,787.17	$3,745.98
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,622.90 / $2,451.63 / $3,781.09	Professional		$1,622.90	$2,451.63	$3,781.09