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 $2,099.44 / $3,271.62 / $8,860.21	Professional		$2,099.44	$3,271.62	$8,860.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,096.46 / $5,319.82 / $8,358.71	Professional		$3,096.46	$5,319.82	$8,358.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,178.47 / $6,098.93 / $7,277.06	Professional		$5,178.47	$6,098.93	$7,277.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,375.00 / $4,641.63 / $5,954.38	Facility		$3,375.00	$4,641.63	$5,954.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,912.10 / $4,797.76 / $7,477.68	Professional		$3,912.10	$4,797.76	$7,477.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,344.74 / $4,675.00 / $5,695.00	Facility		$3,344.74	$4,675.00	$5,695.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,375.00 / $4,650.10 / $7,254.38	Facility		$3,375.00	$4,650.10	$7,254.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,303.41 / $5,703.16 / $7,811.50	Professional		$4,303.41	$5,703.16	$7,811.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,199.46 / $6,634.25 / $8,916.50	Professional		$5,199.46	$6,634.25	$8,916.50
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 $3,768.26 / $5,359.25 / $8,758.33	Professional		$3,768.26	$5,359.25	$8,758.33