Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,433.08 / $7,920.26 / $20,400.00	Facility		$2,433.08	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,042.75 / $1,711.38 / $3,865.16	Professional		$1,042.75	$1,711.38	$3,865.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $2,211.00 / $2,211.00	Facility		$2,211.00	$2,211.00	$2,211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,461.11 / $2,343.92 / $3,636.54	Professional		$1,461.11	$2,343.92	$3,636.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,272.34 / $2,662.65 / $3,193.22	Professional		$2,272.34	$2,662.65	$3,193.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,711.38 / $2,310.36 / $3,351.60	Facility		$1,711.38	$2,310.36	$3,351.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,983.00 / $2,170.58 / $3,472.93	Professional		$1,983.00	$2,170.58	$3,472.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,709.61 / $2,326.91 / $2,477.66	Facility		$1,709.61	$2,326.91	$2,477.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,711.38 / $2,360.16 / $3,149.23	Facility		$1,711.38	$2,360.16	$3,149.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,120.55 / $2,477.83 / $3,395.87	Professional		$2,120.55	$2,477.83	$3,395.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,257.16 / $2,886.29 / $3,879.20	Professional		$2,257.16	$2,886.29	$3,879.20
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 $1,713.60 / $2,510.96 / $3,904.51	Professional		$1,713.60	$2,510.96	$3,904.51