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 $1,308.82 / $2,021.66 / $4,469.88	Professional		$1,308.82	$2,021.66	$4,469.88
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 $1,737.88 / $2,751.47 / $4,134.13	Professional		$1,737.88	$2,751.47	$4,134.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,626.61 / $3,077.57 / $3,691.05	Professional		$2,626.61	$3,077.57	$3,691.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,924.06 / $2,563.08 / $3,528.33	Facility		$1,924.06	$2,563.08	$3,528.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,250.63 / $2,466.94 / $3,700.40	Professional		$2,250.63	$2,466.94	$3,700.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,008.51 / $2,749.68 / $2,835.44	Facility		$2,008.51	$2,749.68	$2,835.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,924.06 / $2,563.08 / $3,608.31	Facility		$1,924.06	$2,563.08	$3,608.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,510.48 / $2,890.94 / $3,913.71	Professional		$2,510.48	$2,890.94	$3,913.71
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 $2,586.19 / $3,281.22 / $4,410.00	Professional		$2,586.19	$3,281.22	$4,410.00
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 $2,093.08 / $2,993.27 / $4,473.70	Professional		$2,093.08	$2,993.27	$4,473.70