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 / $4,584.21	Professional		$1,137.64	$1,738.39	$4,584.21
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 / $3,471.00	Facility		$1,437.43	$2,389.37	$3,471.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,916.58 / $2,269.80 / $3,774.09	Professional		$1,916.58	$2,269.80	$3,774.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,788.29 / $2,449.67 / $2,574.14	Facility		$1,788.29	$2,449.67	$2,574.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,494.57 / $2,580.44 / $3,471.00	Facility		$1,494.57	$2,580.44	$3,471.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,131.19 / $2,773.13 / $3,629.95	Professional		$2,131.19	$2,773.13	$3,629.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,624.30 / $17,810.43 / $21,600.03	Facility		$13,624.30	$17,810.43	$21,600.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,352.48 / $2,998.68 / $3,801.73	Professional		$2,352.48	$2,998.68	$3,801.73
United Facility/Professional Facility Modifier Low / Median / High Price $2,151.00 / $15,055.00 / $24,231.00	Facility		$2,151.00	$15,055.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,889.05 / $2,668.59 / $4,069.43	Professional		$1,889.05	$2,668.59	$4,069.43