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 $2,056.16 / $3,211.97 / $7,194.06	Professional		$2,056.16	$3,211.97	$7,194.06
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 $2,761.97 / $4,417.25 / $6,757.78	Professional		$2,761.97	$4,417.25	$6,757.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,212.10 / $4,955.41 / $5,919.06	Professional		$4,212.10	$4,955.41	$5,919.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,211.97 / $4,145.52 / $5,638.90	Facility		$3,211.97	$4,145.52	$5,638.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,605.19 / $4,033.15 / $6,049.73	Professional		$3,605.19	$4,033.15	$6,049.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,115.82 / $4,308.77 / $4,604.24	Facility		$3,115.82	$4,308.77	$4,604.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,211.97 / $4,245.84 / $5,890.86	Facility		$3,211.97	$4,245.84	$5,890.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,049.76 / $4,719.68 / $6,357.30	Professional		$4,049.76	$4,719.68	$6,357.30
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 $4,222.18 / $5,363.60 / $7,208.73	Professional		$4,222.18	$5,363.60	$7,208.73
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 $3,279.81 / $4,681.50 / $7,112.15	Professional		$3,279.81	$4,681.50	$7,112.15