Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,975.06 / $7,074.00 / $20,400.00	Facility		$1,975.06	$7,074.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,259.21 / $1,836.76 / $4,294.41	Professional		$1,259.21	$1,836.76	$4,294.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,643.31 / $2,638.33 / $4,047.59	Professional		$1,643.31	$2,638.33	$4,047.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,515.46 / $2,957.75 / $3,534.86	Professional		$2,515.46	$2,957.75	$3,534.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $2,463.26 / $3,491.81	Facility		$1,800.00	$2,463.26	$3,491.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,145.57 / $2,415.71 / $3,623.56	Professional		$2,145.57	$2,415.71	$3,623.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,931.58 / $2,637.12 / $2,872.29	Facility		$1,931.58	$2,637.12	$2,872.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,836.76 / $2,626.57 / $5,217.00	Facility		$1,836.76	$2,626.57	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,408.34 / $2,812.56 / $3,792.98	Professional		$2,408.34	$2,812.56	$3,792.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,527.70 / $20,006.47 / $24,937.25	Facility		$15,527.70	$20,006.47	$24,937.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,516.08 / $3,212.54 / $4,317.68	Professional		$2,516.08	$3,212.54	$4,317.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,007.40 / $2,780.41 / $4,526.70	Professional		$2,007.40	$2,780.41	$4,526.70