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 $1,483.69 / $2,307.42 / $4,375.51	Professional		$1,483.69	$2,307.42	$4,375.51
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 $1,985.09 / $3,155.10 / $4,741.85	Professional		$1,985.09	$3,155.10	$4,741.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,007.70 / $3,529.66 / $4,226.58	Professional		$3,007.70	$3,529.66	$4,226.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,130.63 / $2,939.42 / $4,183.64	Facility		$2,130.63	$2,939.42	$4,183.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,446.25 / $2,830.25 / $4,245.37	Professional		$2,446.25	$2,830.25	$4,245.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,194.71 / $3,141.63 / $3,254.55	Facility		$2,194.71	$3,141.63	$3,254.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,130.63 / $3,053.52 / $4,140.33	Facility		$2,130.63	$3,053.52	$4,140.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,914.61 / $3,334.65 / $4,474.02	Professional		$2,914.61	$3,334.65	$4,474.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,457.51 / $15,013.51 / $20,493.73	Facility		$6,457.51	$15,013.51	$20,493.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,968.13 / $3,763.57 / $5,058.28	Professional		$2,968.13	$3,763.57	$5,058.28
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 $2,297.61 / $3,305.74 / $4,999.74	Professional		$2,297.61	$3,305.74	$4,999.74