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 $1,401.20 / $2,128.12 / $4,767.60	Professional		$1,401.20	$2,128.12	$4,767.60
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 $1,810.60 / $2,908.24 / $4,473.39	Professional		$1,810.60	$2,908.24	$4,473.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,796.21 / $3,281.91 / $3,929.39	Professional		$2,796.21	$3,281.91	$3,929.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,128.12 / $2,732.96 / $3,591.25	Facility		$2,128.12	$2,732.96	$3,591.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,281.14 / $2,613.92 / $4,002.59	Professional		$2,281.14	$2,613.92	$4,002.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,905.54 / $2,698.43 / $3,047.83	Facility		$1,905.54	$2,698.43	$3,047.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,128.12 / $2,736.72 / $3,897.49	Facility		$2,128.12	$2,736.72	$3,897.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,579.94 / $3,106.96 / $4,183.83	Professional		$2,579.94	$3,106.96	$4,183.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,629.08 / $16,468.63 / $21,141.18	Facility		$7,629.08	$16,468.63	$21,141.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,793.47 / $3,550.49 / $4,771.89	Professional		$2,793.47	$3,550.49	$4,771.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $17,192.00 / $22,956.00	Facility		$2,912.00	$17,192.00	$22,956.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,121.59 / $3,094.00 / $4,832.24	Professional		$2,121.59	$3,094.00	$4,832.24