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 $1,813.82 / $2,728.64 / $6,148.22	Professional		$1,813.82	$2,728.64	$6,148.22
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 $2,329.00 / $3,784.20 / $5,737.03	Professional		$2,329.00	$3,784.20	$5,737.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,566.51 / $4,201.25 / $5,011.85	Professional		$3,566.51	$4,201.25	$5,011.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,728.64 / $3,683.66 / $5,186.43	Facility		$2,728.64	$3,683.66	$5,186.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,114.77 / $3,488.74 / $5,096.89	Professional		$3,114.77	$3,488.74	$5,096.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,633.26 / $3,641.45 / $4,141.80	Facility		$2,633.26	$3,641.45	$4,141.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,728.64 / $3,730.14 / $5,096.60	Facility		$2,728.64	$3,730.14	$5,096.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,521.05 / $4,065.12 / $5,381.38	Professional		$3,521.05	$4,065.12	$5,381.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,035.96 / $16,468.63 / $21,141.18	Facility		$8,035.96	$16,468.63	$21,141.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,581.94 / $4,553.43 / $6,119.87	Professional		$3,581.94	$4,553.43	$6,119.87
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 $2,689.91 / $4,018.15 / $6,043.35	Professional		$2,689.91	$4,018.15	$6,043.35