Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $20,400.00	Facility		$2,747.00	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,312.50 / $2,656.73 / $3,569.00	Professional		$1,312.50	$2,656.73	$3,569.00
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 $1,941.17 / $5,173.85 / $7,489.42	Professional		$1,941.17	$5,173.85	$7,489.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,710.78 / $3,719.81 / $4,706.89	Professional		$2,710.78	$3,719.81	$4,706.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,820.82 / $3,569.00 / $6,808.94	Facility		$1,820.82	$3,569.00	$6,808.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,282.22 / $13,910.16 / $18,772.80	Professional		$1,282.22	$13,910.16	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $985.43 / $1,444.16 / $1,600.72	Facility		$985.43	$1,444.16	$1,600.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,737.32 / $3,569.00 / $6,750.76	Facility		$1,737.32	$3,569.00	$6,750.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,824.20 / $4,462.93 / $7,453.02	Professional		$1,824.20	$4,462.93	$7,453.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,210.10 / $4,907.93 / $7,183.00	Professional		$4,210.10	$4,907.93	$7,183.00
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 $3,172.48 / $4,457.04 / $6,157.57	Professional		$3,172.48	$4,457.04	$6,157.57