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 $2,269.03 / $3,453.80 / $7,735.81	Professional		$2,269.03	$3,453.80	$7,735.81
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 $2,974.30 / $4,714.03 / $7,268.16	Professional		$2,974.30	$4,714.03	$7,268.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,526.27 / $5,326.89 / $6,360.56	Professional		$4,526.27	$5,326.89	$6,360.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,453.80 / $4,436.10 / $6,327.09	Facility		$3,453.80	$4,436.10	$6,327.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,739.80 / $4,335.91 / $6,503.87	Professional		$3,739.80	$4,335.91	$6,503.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,306.24 / $4,557.37 / $4,977.60	Facility		$3,306.24	$4,557.37	$4,977.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,453.80 / $4,539.99 / $6,333.64	Facility		$3,453.80	$4,539.99	$6,333.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,204.20 / $4,998.20 / $6,838.82	Professional		$4,204.20	$4,998.20	$6,838.82
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 $4,539.54 / $5,768.68 / $7,753.16	Professional		$4,539.54	$5,768.68	$7,753.16
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 $3,326.73 / $5,063.28 / $7,852.62	Professional		$3,326.73	$5,063.28	$7,852.62