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 $1,718.39 / $2,534.78 / $5,320.38	Professional		$1,718.39	$2,534.78	$5,320.38
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 $2,211.48 / $3,846.99 / $6,186.59	Professional		$2,211.48	$3,846.99	$6,186.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,802.39 / $4,456.96 / $5,343.31	Professional		$3,802.39	$4,456.96	$5,343.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,433.42 / $3,534.97 / $4,817.32	Facility		$2,433.42	$3,534.97	$4,817.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,834.07 / $3,635.40 / $5,620.05	Professional		$2,834.07	$3,635.40	$5,620.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,575.92 / $3,741.21 / $4,311.45	Facility		$2,575.92	$3,741.21	$4,311.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,433.42 / $3,671.22 / $5,484.98	Facility		$2,433.42	$3,671.22	$5,484.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,293.32 / $4,275.84 / $5,906.21	Professional		$3,293.32	$4,275.84	$5,906.21
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 $3,930.65 / $5,022.52 / $6,750.32	Professional		$3,930.65	$5,022.52	$6,750.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $22,956.00	Facility		$2,912.00	$16,268.00	$22,956.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,771.97 / $4,041.57 / $6,498.44	Professional		$2,771.97	$4,041.57	$6,498.44