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 $1,112.77 / $1,698.49 / $3,842.23	Professional		$1,112.77	$1,698.49	$3,842.23
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 $1,456.09 / $2,329.03 / $3,613.92	Professional		$1,456.09	$2,329.03	$3,613.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,260.78 / $2,648.10 / $3,176.97	Professional		$2,260.78	$2,648.10	$3,176.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,623.69 / $2,204.71 / $2,935.90	Facility		$1,623.69	$2,204.71	$2,935.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,888.75 / $2,148.90 / $3,235.79	Professional		$1,888.75	$2,148.90	$3,235.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,662.80 / $2,299.44 / $2,462.25	Facility		$1,662.80	$2,299.44	$2,462.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,613.57 / $2,240.64 / $3,125.20	Facility		$1,613.57	$2,240.64	$3,125.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,130.60 / $2,474.94 / $3,373.17	Professional		$2,130.60	$2,474.94	$3,373.17
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 $2,239.94 / $2,868.34 / $3,855.08	Professional		$2,239.94	$2,868.34	$3,855.08
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 $1,742.71 / $2,458.41 / $3,773.10	Professional		$1,742.71	$2,458.41	$3,773.10