Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,218.76 / $5,116.62 / $18,360.00	Facility		$4,218.76	$5,116.62	$18,360.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,958.11 / $2,869.36 / $7,977.77	Professional		$1,958.11	$2,869.36	$7,977.77
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 $2,110.02 / $4,162.10 / $5,991.15	Professional		$2,110.02	$4,162.10	$5,991.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,344.75 / $4,391.96 / $5,370.99	Professional		$3,344.75	$4,391.96	$5,370.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,212.56 / $3,812.83 / $6,181.16	Facility		$2,212.56	$3,812.83	$6,181.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,356.55 / $3,804.60 / $6,159.18	Professional		$3,356.55	$3,804.60	$6,159.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,072.21 / $4,074.52 / $4,248.47	Facility		$3,072.21	$4,074.52	$4,248.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,303.42 / $4,352.97 / $6,181.16	Facility		$2,303.42	$4,352.97	$6,181.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,566.03 / $4,551.35 / $5,960.99	Professional		$3,566.03	$4,551.35	$5,960.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,231.00 / $11,231.00 / $11,231.00	Facility		$11,231.00	$11,231.00	$11,231.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,843.32 / $4,893.34 / $5,920.93	Professional		$3,843.32	$4,893.34	$5,920.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,345.00 / $7,664.00 / $31,303.00	Facility		$1,345.00	$7,664.00	$31,303.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,999.78 / $4,502.39 / $6,648.30	Professional		$2,999.78	$4,502.39	$6,648.30