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 $1,470.56 / $2,281.12 / $5,004.13	Professional		$1,470.56	$2,281.12	$5,004.13
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 $1,977.64 / $3,139.91 / $4,626.80	Professional		$1,977.64	$3,139.91	$4,626.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,937.46 / $3,440.72 / $4,127.87	Professional		$2,937.46	$3,440.72	$4,127.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,182.44 / $2,893.86 / $3,965.25	Facility		$2,182.44	$2,893.86	$3,965.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,438.40 / $2,812.20 / $4,134.46	Professional		$2,438.40	$2,812.20	$4,134.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,280.54 / $2,964.18 / $3,160.39	Facility		$2,280.54	$2,964.18	$3,160.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,182.44 / $2,981.52 / $4,049.37	Facility		$2,182.44	$2,981.52	$4,049.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,874.96 / $3,244.31 / $4,442.00	Professional		$2,874.96	$3,244.31	$4,442.00
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 $2,902.33 / $3,672.25 / $4,935.55	Professional		$2,902.33	$3,672.25	$4,935.55
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 $2,318.96 / $3,175.59 / $4,888.89	Professional		$2,318.96	$3,175.59	$4,888.89