Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,148.10 / $12,274.80 / $21,735.00	Facility		$3,148.10	$12,274.80	$21,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,281.44 / $2,435.96 / $5,267.95	Professional		$1,281.44	$2,435.96	$5,267.95
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 $1,507.48 / $2,495.29 / $4,149.31	Professional		$1,507.48	$2,495.29	$4,149.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,590.08 / $3,300.65 / $3,667.39	Professional		$1,590.08	$3,300.65	$3,667.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,590.08 / $2,464.62 / $4,064.31	Facility		$1,590.08	$2,464.62	$4,064.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,269.15 / $2,607.60 / $4,762.85	Professional		$2,269.15	$2,607.60	$4,762.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,993.07 / $2,810.65 / $3,151.68	Facility		$1,993.07	$2,810.65	$3,151.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,862.98 / $3,483.81 / $10,990.00	Facility		$1,862.98	$3,483.81	$10,990.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,280.96 / $3,021.83 / $4,149.31	Professional		$2,280.96	$3,021.83	$4,149.31
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 $2,881.42 / $3,084.88 / $4,262.41	Professional		$2,881.42	$3,084.88	$4,262.41
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 $1,803.85 / $2,824.89 / $4,450.29	Professional		$1,803.85	$2,824.89	$4,450.29