Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,026.55 / $7,920.26 / $20,400.00	Facility		$2,026.55	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $924.03 / $1,419.99 / $2,722.00	Professional		$924.03	$1,419.99	$2,722.00
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 $1,221.13 / $1,947.73 / $3,003.24	Professional		$1,221.13	$1,947.73	$3,003.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,856.35 / $2,184.73 / $2,608.65	Professional		$1,856.35	$2,184.73	$2,608.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,355.17 / $1,819.70 / $2,480.30	Facility		$1,355.17	$1,819.70	$2,480.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,525.26 / $1,786.88 / $2,680.32	Professional		$1,525.26	$1,786.88	$2,680.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,428.31 / $1,925.70 / $2,049.52	Facility		$1,428.31	$1,925.70	$2,049.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,355.17 / $2,030.59 / $5,217.00	Facility		$1,355.17	$2,030.59	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,778.26 / $2,082.96 / $2,829.01	Professional		$1,778.26	$2,082.96	$2,829.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,536.02 / $8,364.56 / $10,637.18	Facility		$6,536.02	$8,364.56	$10,637.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,886.91 / $2,383.65 / $3,203.65	Professional		$1,886.91	$2,383.65	$3,203.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,423.20 / $2,048.21 / $3,233.68	Professional		$1,423.20	$2,048.21	$3,233.68