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 $2,572.40 / $3,948.84 / $8,886.84	Professional		$2,572.40	$3,948.84	$8,886.84
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 $3,419.59 / $5,451.34 / $8,383.31	Professional		$3,419.59	$5,451.34	$8,383.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,195.63 / $6,118.56 / $7,301.18	Professional		$5,195.63	$6,118.56	$7,301.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,750.00 / $5,109.45 / $7,055.00	Facility		$3,750.00	$5,109.45	$7,055.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,509.50 / $4,981.62 / $7,501.25	Professional		$4,509.50	$4,981.62	$7,501.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,023.77 / $5,437.81 / $5,711.75	Facility		$4,023.77	$5,437.81	$5,711.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,750.00 / $5,331.60 / $7,274.97	Facility		$3,750.00	$5,331.60	$7,274.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,991.58 / $5,765.04 / $7,849.94	Professional		$4,991.58	$5,765.04	$7,849.94
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 $5,214.22 / $6,653.76 / $8,942.73	Professional		$5,214.22	$6,653.76	$8,942.73
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 $3,885.48 / $5,742.79 / $8,915.15	Professional		$3,885.48	$5,742.79	$8,915.15