Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,782.02 / $9,972.00 / $20,400.00	Facility		$2,782.02	$9,972.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,162.16 / $2,136.30 / $4,861.38	Professional		$1,162.16	$2,136.30	$4,861.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $971.00 / $971.00 / $971.00	Facility		$971.00	$971.00	$971.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,438.54 / $2,318.02 / $3,658.70	Professional		$1,438.54	$2,318.02	$3,658.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,384.82 / $2,897.14 / $3,219.04	Professional		$1,384.82	$2,897.14	$3,219.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,384.82 / $2,243.12 / $3,688.52	Facility		$1,384.82	$2,243.12	$3,688.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,059.13 / $2,324.82 / $4,156.95	Professional		$2,059.13	$2,324.82	$4,156.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,789.80 / $2,576.71 / $2,756.38	Facility		$1,789.80	$2,576.71	$2,756.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,629.23 / $3,153.33 / $8,747.00	Facility		$1,629.23	$3,153.33	$8,747.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,117.34 / $2,649.67 / $3,658.70	Professional		$2,117.34	$2,649.67	$3,658.70
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 $2,514.86 / $2,697.96 / $3,779.42	Professional		$2,514.86	$2,697.96	$3,779.42
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 $1,793.98 / $2,561.64 / $3,710.44	Professional		$1,793.98	$2,561.64	$3,710.44