Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,766.27 / $9,972.00 / $20,908.07	Facility		$2,766.27	$9,972.00	$20,908.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,082.80 / $2,150.65 / $4,443.06	Professional		$1,082.80	$2,150.65	$4,443.06
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 $1,319.19 / $2,166.03 / $3,680.86	Professional		$1,319.19	$2,166.03	$3,680.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,402.42 / $2,897.74 / $3,233.90	Professional		$1,402.42	$2,897.74	$3,233.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,402.42 / $2,173.75 / $3,425.65	Facility		$1,402.42	$2,173.75	$3,425.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,933.14 / $2,241.30 / $4,212.87	Professional		$1,933.14	$2,241.30	$4,212.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,715.13 / $2,371.80 / $2,783.18	Facility		$1,715.13	$2,371.80	$2,783.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,639.08 / $3,020.29 / $8,747.00	Facility		$1,639.08	$3,020.29	$8,747.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,952.10 / $2,665.76 / $3,680.86	Professional		$1,952.10	$2,665.76	$3,680.86
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 $2,548.69 / $2,724.19 / $3,770.21	Professional		$2,548.69	$2,724.19	$3,770.21
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 $1,653.08 / $2,403.13 / $3,621.45	Professional		$1,653.08	$2,403.13	$3,621.45