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 $1,531.41 / $2,309.07 / $5,193.27	Professional		$1,531.41	$2,309.07	$5,193.27
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 $1,961.80 / $3,181.03 / $4,844.13	Professional		$1,961.80	$3,181.03	$4,844.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,013.36 / $3,546.14 / $4,234.53	Professional		$3,013.36	$3,546.14	$4,234.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,247.54 / $3,103.92 / $4,173.24	Facility		$2,247.54	$3,103.92	$4,173.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,543.40 / $2,892.16 / $4,300.39	Professional		$2,543.40	$2,892.16	$4,300.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,361.80 / $3,169.10 / $3,361.80	Facility		$2,361.80	$3,169.10	$3,361.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,247.54 / $3,118.11 / $4,220.99	Facility		$2,247.54	$3,118.11	$4,220.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,836.36 / $3,413.52 / $4,540.88	Professional		$2,836.36	$3,413.52	$4,540.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,671.70 / $18,246.18 / $21,922.68	Facility		$13,671.70	$18,246.18	$21,922.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,025.33 / $3,844.74 / $5,167.37	Professional		$3,025.33	$3,844.74	$5,167.37
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 $2,365.00 / $3,277.60 / $5,096.08	Professional		$2,365.00	$3,277.60	$5,096.08