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 $2,413.21 / $3,661.68 / $8,239.61	Professional		$2,413.21	$3,661.68	$8,239.61
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 $3,161.70 / $5,055.41 / $7,771.65	Professional		$3,161.70	$5,055.41	$7,771.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,816.26 / $5,670.69 / $6,768.07	Professional		$4,816.26	$5,670.69	$6,768.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,478.60 / $4,865.18 / $6,432.80	Facility		$3,478.60	$4,865.18	$6,432.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,247.85 / $4,634.03 / $6,951.04	Professional		$4,247.85	$4,634.03	$6,951.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,716.60 / $5,026.47 / $5,295.01	Facility		$3,716.60	$5,026.47	$5,295.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,475.83 / $4,996.58 / $6,746.38	Facility		$3,475.83	$4,996.58	$6,746.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,629.24 / $5,380.62 / $7,264.49	Professional		$4,629.24	$5,380.62	$7,264.49
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 $4,835.97 / $6,168.29 / $8,290.25	Professional		$4,835.97	$6,168.29	$8,290.25
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,826.00 / $5,298.56 / $8,287.60	Professional		$3,826.00	$5,298.56	$8,287.60