Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,583.73 / $7,920.26 / $20,400.00	Facility		$2,583.73	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,129.88 / $1,740.52 / $4,105.38	Professional		$1,129.88	$1,740.52	$4,105.38
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 $1,483.02 / $2,464.41 / $3,756.40	Professional		$1,483.02	$2,464.41	$3,756.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,415.67 / $2,829.54 / $3,394.64	Professional		$2,415.67	$2,829.54	$3,394.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,659.66 / $2,335.12 / $3,053.20	Facility		$1,659.66	$2,335.12	$3,053.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,021.40 / $2,231.42 / $3,442.77	Professional		$2,021.40	$2,231.42	$3,442.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,771.84 / $2,417.36 / $2,626.40	Facility		$1,771.84	$2,417.36	$2,626.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,733.09 / $2,506.04 / $4,516.49	Facility		$1,733.09	$2,506.04	$4,516.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,179.40 / $2,628.75 / $3,599.74	Professional		$2,179.40	$2,628.75	$3,599.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,543.33 / $44,586.59 / $52,124.27	Facility		$33,543.33	$44,586.59	$52,124.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,391.40 / $3,059.56 / $4,112.08	Professional		$2,391.40	$3,059.56	$4,112.08
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 $1,709.38 / $2,485.69 / $4,000.85	Professional		$1,709.38	$2,485.69	$4,000.85