Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,107.00 / $12,274.80 / $21,735.00	Facility		$3,107.00	$12,274.80	$21,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,224.65 / $2,335.31 / $5,079.18	Professional		$1,224.65	$2,335.31	$5,079.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $1,348.00 / $1,348.00	Facility		$1,348.00	$1,348.00	$1,348.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,456.83 / $2,380.60 / $3,977.85	Professional		$1,456.83	$2,380.60	$3,977.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,524.54 / $3,162.33 / $3,515.51	Professional		$1,524.54	$3,162.33	$3,515.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,524.54 / $2,363.04 / $3,873.64	Facility		$1,524.54	$2,363.04	$3,873.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,184.33 / $2,462.96 / $4,561.56	Professional		$2,184.33	$2,462.96	$4,561.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,897.88 / $2,698.76 / $3,021.03	Facility		$1,897.88	$2,698.76	$3,021.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,785.56 / $3,339.49 / $10,990.00	Facility		$1,785.56	$3,339.49	$10,990.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,183.50 / $2,894.12 / $3,977.85	Professional		$2,183.50	$2,894.12	$3,977.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,813.93 / $11,944.47 / $14,473.89	Facility		$8,813.93	$11,944.47	$14,473.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,759.64 / $2,957.00 / $4,082.27	Professional		$2,759.64	$2,957.00	$4,082.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,809.90 / $2,700.09 / $4,253.68	Professional		$1,809.90	$2,700.09	$4,253.68