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 $1,542.95 / $2,357.32 / $5,320.21	Professional		$1,542.95	$2,357.32	$5,320.21
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 $1,991.71 / $3,244.77 / $4,992.62	Professional		$1,991.71	$3,244.77	$4,992.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,119.57 / $3,663.68 / $4,383.79	Professional		$3,119.57	$3,663.68	$4,383.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,375.78 / $3,051.02 / $3,780.80	Facility		$2,375.78	$3,051.02	$3,780.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,586.00 / $2,896.55 / $4,468.96	Professional		$2,586.00	$2,896.55	$4,468.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,221.92 / $3,072.62 / $3,401.59	Facility		$2,221.92	$3,072.62	$3,401.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,357.32 / $3,127.68 / $4,352.28	Facility		$2,357.32	$3,127.68	$4,352.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,865.24 / $3,429.31 / $4,692.18	Professional		$2,865.24	$3,429.31	$4,692.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,916.19 / $16,468.63 / $21,141.18	Facility		$7,916.19	$16,468.63	$21,141.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,119.43 / $3,962.60 / $5,325.77	Professional		$3,119.43	$3,962.60	$5,325.77
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 $2,323.67 / $3,312.62 / $5,254.59	Professional		$2,323.67	$3,312.62	$5,254.59