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 $1,685.55 / $2,537.65 / $5,712.09	Professional		$1,685.55	$2,537.65	$5,712.09
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 $2,107.94 / $3,528.46 / $5,242.09	Professional		$2,107.94	$3,528.46	$5,242.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,312.29 / $3,901.46 / $4,654.60	Professional		$3,312.29	$3,901.46	$4,654.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,537.65 / $3,436.66 / $4,997.14	Facility		$2,537.65	$3,436.66	$4,997.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,892.22 / $3,260.80 / $4,732.72	Professional		$2,892.22	$3,260.80	$4,732.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,779.40 / $3,489.36 / $3,894.04	Facility		$2,779.40	$3,489.36	$3,894.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,537.65 / $3,509.49 / $4,997.14	Facility		$2,537.65	$3,509.49	$4,997.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,265.26 / $3,805.34 / $5,017.77	Professional		$3,265.26	$3,805.34	$5,017.77
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 $3,329.16 / $4,230.31 / $5,685.58	Professional		$3,329.16	$4,230.31	$5,685.58
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 $2,604.00 / $3,745.34 / $5,607.85	Professional		$2,604.00	$3,745.34	$5,607.85