Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $13,042.97 / $59,023.00	Facility		$2,747.00	$13,042.97	$59,023.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,227.04 / $1,863.67 / $4,948.10	Professional		$1,227.04	$1,863.67	$4,948.10
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 $1,368.15 / $2,594.66 / $3,818.78	Professional		$1,368.15	$2,594.66	$3,818.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,152.51 / $2,826.44 / $3,456.51	Professional		$2,152.51	$2,826.44	$3,456.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,497.81 / $2,426.46 / $3,738.50	Facility		$1,497.81	$2,426.46	$3,738.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,060.40 / $2,423.40 / $4,050.12	Professional		$2,060.40	$2,423.40	$4,050.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,809.86 / $2,622.14 / $2,762.41	Facility		$1,809.86	$2,622.14	$2,762.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,597.61 / $2,748.45 / $3,738.50	Facility		$1,597.61	$2,748.45	$3,738.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,302.40 / $2,978.87 / $3,906.40	Professional		$2,302.40	$2,978.87	$3,906.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,083.95 / $7,083.95 / $7,083.95	Facility		$7,083.95	$7,083.95	$7,083.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,525.92 / $3,218.00 / $3,891.38	Professional		$2,525.92	$3,218.00	$3,891.38
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 $2,034.50 / $2,904.44 / $4,328.79	Professional		$2,034.50	$2,904.44	$4,328.79