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 $2,001.22 / $3,093.13 / $6,914.83	Professional		$2,001.22	$3,093.13	$6,914.83
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 $2,636.15 / $4,251.14 / $6,491.29	Professional		$2,636.15	$4,251.14	$6,491.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,046.08 / $4,754.66 / $5,685.76	Professional		$4,046.08	$4,754.66	$5,685.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,069.80 / $3,959.32 / $5,481.27	Facility		$3,069.80	$3,959.32	$5,481.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,514.24 / $3,867.80 / $5,801.71	Professional		$3,514.24	$3,867.80	$5,801.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,036.55 / $4,079.63 / $4,428.16	Facility		$3,036.55	$4,079.63	$4,428.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,069.80 / $4,009.68 / $5,663.46	Facility		$3,069.80	$4,009.68	$5,663.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,975.40 / $4,527.81 / $6,112.32	Professional		$3,975.40	$4,527.81	$6,112.32
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 $4,059.20 / $5,152.08 / $6,924.45	Professional		$4,059.20	$5,152.08	$6,924.45
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 $3,090.71 / $4,442.92 / $6,943.82	Professional		$3,090.71	$4,442.92	$6,943.82