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 $2,405.65 / $3,705.11 / $8,370.15	Professional		$2,405.65	$3,705.11	$8,370.15
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 $3,184.85 / $5,071.03 / $7,879.82	Professional		$3,184.85	$5,071.03	$7,879.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,916.95 / $5,768.14 / $6,909.56	Professional		$4,916.95	$5,768.14	$6,909.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,282.00 / $4,739.58 / $5,787.83	Facility		$3,282.00	$4,739.58	$5,787.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,648.20 / $4,600.85 / $7,057.58	Professional		$3,648.20	$4,600.85	$7,057.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,091.38 / $4,469.07 / $5,368.71	Facility		$3,091.38	$4,469.07	$5,368.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,282.00 / $4,780.22 / $6,823.61	Facility		$3,282.00	$4,780.22	$6,823.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,151.39 / $5,350.92 / $7,353.94	Professional		$4,151.39	$5,350.92	$7,353.94
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 $4,891.33 / $6,254.15 / $8,405.64	Professional		$4,891.33	$6,254.15	$8,405.64
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 $3,537.41 / $5,152.30 / $8,239.31	Professional		$3,537.41	$5,152.30	$8,239.31