Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,913.38 / $10,180.24 / $42,921.00	Facility		$2,913.38	$10,180.24	$42,921.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,281.07 / $2,001.13 / $5,368.21	Professional		$1,281.07	$2,001.13	$5,368.21
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 $1,456.67 / $2,789.86 / $4,108.53	Professional		$1,456.67	$2,789.86	$4,108.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,323.26 / $3,050.65 / $3,730.85	Professional		$2,323.26	$3,050.65	$3,730.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,611.57 / $2,626.10 / $4,043.02	Facility		$1,611.57	$2,626.10	$4,043.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,226.66 / $2,575.19 / $4,364.46	Professional		$2,226.66	$2,575.19	$4,364.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,894.34 / $2,682.25 / $2,976.81	Facility		$1,894.34	$2,682.25	$2,976.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,669.42 / $2,918.93 / $4,043.02	Facility		$1,669.42	$2,918.93	$4,043.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,451.96 / $3,197.54 / $4,202.80	Professional		$2,451.96	$3,197.54	$4,202.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,860.32 / $6,860.32 / $6,860.32	Facility		$6,860.32	$6,860.32	$6,860.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,719.66 / $3,467.76 / $4,189.85	Professional		$2,719.66	$3,467.76	$4,189.85
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 $1,984.92 / $3,108.21 / $4,892.93	Professional		$1,984.92	$3,108.21	$4,892.93