Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,705.59 / $7,920.26 / $20,400.00	Facility		$2,705.59	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,257.04 / $1,824.58 / $4,286.55	Professional		$1,257.04	$1,824.58	$4,286.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $2,211.00 / $2,211.00	Facility		$2,211.00	$2,211.00	$2,211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,670.30 / $2,633.79 / $4,104.63	Professional		$1,670.30	$2,633.79	$4,104.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,506.59 / $2,946.86 / $3,522.40	Professional		$2,506.59	$2,946.86	$3,522.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,824.58 / $2,492.96 / $3,371.22	Facility		$1,824.58	$2,492.96	$3,371.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,169.00 / $2,443.07 / $3,664.60	Professional		$2,169.00	$2,443.07	$3,664.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,966.10 / $2,651.98 / $2,796.58	Facility		$1,966.10	$2,651.98	$2,796.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,824.58 / $2,499.87 / $3,563.69	Facility		$1,824.58	$2,499.87	$3,563.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,436.06 / $2,824.90 / $3,837.37	Professional		$2,436.06	$2,824.90	$3,837.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,554.21 / $3,257.81 / $4,378.53	Professional		$2,554.21	$3,257.81	$4,378.53
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $20,708.00 / $26,830.35	Facility		$3,028.00	$20,708.00	$26,830.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,933.92 / $2,822.41 / $4,377.28	Professional		$1,933.92	$2,822.41	$4,377.28