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 $1,830.74 / $2,824.25 / $6,616.55	Professional		$1,830.74	$2,824.25	$6,616.55
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 $2,481.36 / $3,991.69 / $6,213.97	Professional		$2,481.36	$3,991.69	$6,213.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,876.27 / $4,558.31 / $5,447.14	Professional		$3,876.27	$4,558.31	$5,447.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,952.74 / $3,765.60 / $4,734.50	Facility		$2,952.74	$3,765.60	$4,734.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,198.70 / $3,620.35 / $5,564.16	Professional		$3,198.70	$3,620.35	$5,564.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,750.86 / $3,823.02 / $4,233.72	Facility		$2,750.86	$3,823.02	$4,233.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,824.25 / $3,796.26 / $5,414.61	Facility		$2,824.25	$3,796.26	$5,414.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,608.14 / $4,268.97 / $5,841.06	Professional		$3,608.14	$4,268.97	$5,841.06
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 $3,881.45 / $4,931.97 / $6,628.63	Professional		$3,881.45	$4,931.97	$6,628.63
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 $2,910.06 / $4,133.22 / $6,538.19	Professional		$2,910.06	$4,133.22	$6,538.19