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 $2,292.28 / $3,437.49 / $7,669.69	Professional		$2,292.28	$3,437.49	$7,669.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,951.50 / $4,695.89 / $7,178.67	Professional		$2,951.50	$4,695.89	$7,178.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,459.33 / $5,262.35 / $6,266.49	Professional		$4,459.33	$5,262.35	$6,266.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,265.62 / $4,577.46 / $6,115.75	Facility		$3,265.62	$4,577.46	$6,115.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,912.68 / $4,325.88 / $6,402.56	Professional		$3,912.68	$4,325.88	$6,402.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,500.03 / $4,735.76 / $4,891.00	Facility		$3,500.03	$4,735.76	$4,891.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,223.72 / $4,640.60 / $6,295.88	Facility		$3,223.72	$4,640.60	$6,295.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,401.38 / $5,044.18 / $6,779.39	Professional		$4,401.38	$5,044.18	$6,779.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,898.62 / $20,285.91 / $26,041.52	Facility		$9,898.62	$20,285.91	$26,041.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,512.47 / $5,697.65 / $7,657.70	Professional		$4,512.47	$5,697.65	$7,657.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,620.49 / $5,182.26 / $7,601.12	Professional		$3,620.49	$5,182.26	$7,601.12