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 $2,489.15 / $3,810.37 / $8,842.86	Professional		$2,489.15	$3,810.37	$8,842.86
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 $3,353.84 / $5,410.00 / $8,259.40	Professional		$3,353.84	$5,410.00	$8,259.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,118.68 / $6,046.41 / $7,193.05	Professional		$5,118.68	$6,046.41	$7,193.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,915.37 / $5,275.74 / $7,099.35	Facility		$3,915.37	$5,275.74	$7,099.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,354.20 / $4,878.13 / $7,342.30	Professional		$4,354.20	$4,878.13	$7,342.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,779.81 / $5,150.56 / $5,627.33	Facility		$3,779.81	$5,150.56	$5,627.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,810.37 / $5,285.75 / $7,198.60	Facility		$3,810.37	$5,285.75	$7,198.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,822.10 / $5,757.39 / $7,730.42	Professional		$4,822.10	$5,757.39	$7,730.42
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 $5,159.49 / $6,555.42 / $8,810.54	Professional		$5,159.49	$6,555.42	$8,810.54
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 $3,722.33 / $5,583.48 / $9,250.02	Professional		$3,722.33	$5,583.48	$9,250.02