Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $20,400.00	Facility		$2,747.00	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,736.16 / $2,297.81 / $5,365.61	Professional		$1,736.16	$2,297.81	$5,365.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,302.57 / $3,846.03 / $5,907.04	Professional		$2,302.57	$3,846.03	$5,907.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,202.50 / $3,918.30 / $4,700.84	Professional		$3,202.50	$3,918.30	$4,700.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,382.48 / $3,577.41 / $5,778.52	Facility		$2,382.48	$3,577.41	$5,778.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,517.44 / $3,464.34 / $4,725.43	Professional		$2,517.44	$3,464.34	$4,725.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,338.41 / $3,352.62 / $4,001.91	Facility		$2,338.41	$3,352.62	$4,001.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,382.48 / $3,654.65 / $5,778.52	Facility		$2,382.48	$3,654.65	$5,778.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,269.02 / $3,974.44 / $5,495.11	Professional		$3,269.02	$3,974.44	$5,495.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,016.60	Facility		$3,820.30	$4,901.89	$6,016.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,376.52 / $4,238.87 / $5,671.08	Professional		$3,376.52	$4,238.87	$5,671.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,628.11 / $3,902.55 / $5,840.81	Professional		$2,628.11	$3,902.55	$5,840.81