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 $2,412.78 / $3,613.25 / $8,156.85	Professional		$2,412.78	$3,613.25	$8,156.85
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 $3,093.26 / $5,058.55 / $7,617.26	Professional		$3,093.26	$5,058.55	$7,617.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,724.16 / $5,577.40 / $6,638.64	Professional		$4,724.16	$5,577.40	$6,638.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,613.25 / $4,950.14 / $6,298.04	Facility		$3,613.25	$4,950.14	$6,298.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,138.45 / $4,514.67 / $6,772.01	Professional		$4,138.45	$4,514.67	$6,772.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,580.31 / $4,803.22 / $5,189.82	Facility		$3,580.31	$4,803.22	$5,189.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,613.25 / $5,052.18 / $6,639.12	Facility		$3,613.25	$5,052.18	$6,639.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,543.31 / $5,279.27 / $7,130.55	Professional		$4,543.31	$5,279.27	$7,130.55
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 $4,757.26 / $6,045.75 / $8,125.55	Professional		$4,757.26	$6,045.75	$8,125.55
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 $3,656.26 / $5,072.12 / $8,152.68	Professional		$3,656.26	$5,072.12	$8,152.68