Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,521.48 / $8,369.76 / $30,593.00	Facility		$2,521.48	$8,369.76	$30,593.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,137.64 / $1,738.39 / $4,579.71	Professional		$1,137.64	$1,738.39	$4,579.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $1,664.70	Facility		$1,664.70	$1,664.70	$1,664.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,277.31 / $2,421.44 / $3,552.25	Professional		$1,277.31	$2,421.44	$3,552.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,010.92 / $2,640.52 / $3,236.45	Professional		$2,010.92	$2,640.52	$3,236.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,437.43 / $2,389.37 / $3,473.78	Facility		$1,437.43	$2,389.37	$3,473.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,918.62 / $2,278.50 / $3,774.09	Professional		$1,918.62	$2,278.50	$3,774.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,784.41 / $2,435.44 / $2,574.14	Facility		$1,784.41	$2,435.44	$2,574.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,494.57 / $2,580.44 / $3,473.78	Facility		$1,494.57	$2,580.44	$3,473.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,129.92 / $2,773.13 / $3,629.95	Professional		$2,129.92	$2,773.13	$3,629.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,920.41 / $5,003.37 / $9,245.94	Facility		$1,920.41	$5,003.37	$9,245.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,352.48 / $2,998.68 / $3,793.49	Professional		$2,352.48	$2,998.68	$3,793.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,895.00 / $11,770.00 / $26,404.00	Facility		$1,895.00	$11,770.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,874.26 / $2,646.01 / $3,992.27	Professional		$1,874.26	$2,646.01	$3,992.27