Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $8,878.56 / $20,400.00	Facility		$2,747.00	$8,878.56	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,198.75 / $1,404.09 / $3,581.96	Professional		$1,198.75	$1,404.09	$3,581.96
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 $1,668.65 / $2,662.70 / $4,011.20	Professional		$1,668.65	$2,662.70	$4,011.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,549.42 / $2,986.20 / $3,582.58	Professional		$2,549.42	$2,986.20	$3,582.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,833.83 / $2,486.82 / $3,470.23	Facility		$1,833.83	$2,486.82	$3,470.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,126.69 / $2,412.21 / $3,590.35	Professional		$2,126.69	$2,412.21	$3,590.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,995.77 / $2,648.51 / $2,786.53	Facility		$1,995.77	$2,648.51	$2,786.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,833.83 / $2,486.82 / $3,502.76	Facility		$1,833.83	$2,486.82	$3,502.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,433.44 / $2,816.51 / $3,781.87	Professional		$2,433.44	$2,816.51	$3,781.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,457.51 / $16,215.85 / $21,922.68	Facility		$6,457.51	$16,215.85	$21,922.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,510.56 / $3,183.66 / $4,278.87	Professional		$2,510.56	$3,183.66	$4,278.87
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 $1,897.43 / $2,771.68 / $4,228.96	Professional		$1,897.43	$2,771.68	$4,228.96