Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,643.49 / $2,944.58 / $3,312.48	Facility		$2,643.49	$2,944.58	$3,312.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,058.71 / $1,516.11 / $4,251.00	Professional		$1,058.71	$1,516.11	$4,251.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102,505.00 / $102,505.00 / $102,505.00	Facility		$102,505.00	$102,505.00	$102,505.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,877.66 / $3,020.85 / $4,140.03	Professional		$1,877.66	$3,020.85	$4,140.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,158.89 / $3,100.25 / $3,490.57	Professional		$2,158.89	$3,100.25	$3,490.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,778.64 / $2,596.30 / $3,824.08	Facility		$1,778.64	$2,596.30	$3,824.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,077.23 / $2,427.00 / $4,486.81	Professional		$2,077.23	$2,427.00	$4,486.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,599.96 / $2,625.06 / $2,820.70	Facility		$1,599.96	$2,625.06	$2,820.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,778.64 / $3,193.83 / $3,824.08	Facility		$1,778.64	$3,193.83	$3,824.08
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $448.19 / $448.19 / $448.19	Facility	AS	$448.19	$448.19	$448.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,342.79 / $3,237.27 / $4,140.03	Professional		$2,342.79	$3,237.27	$4,140.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,563.44 / $3,454.31 / $4,416.29	Professional		$2,563.44	$3,454.31	$4,416.29
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,121.51 / $3,297.45 / $4,434.33	Professional		$2,121.51	$3,297.45	$4,434.33