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 $1,288.05 / $1,836.10 / $3,851.89	Professional		$1,288.05	$1,836.10	$3,851.89
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 $1,724.08 / $2,766.40 / $4,171.50	Professional		$1,724.08	$2,766.40	$4,171.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,647.27 / $3,106.18 / $3,720.08	Professional		$2,647.27	$3,106.18	$3,720.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,952.50 / $2,586.64 / $3,557.38	Facility		$1,952.50	$2,586.64	$3,557.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,148.60 / $2,478.34 / $3,736.21	Professional		$2,148.60	$2,478.34	$3,736.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,015.37 / $2,670.28 / $2,862.91	Facility		$2,015.37	$2,670.28	$2,862.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,952.50 / $2,607.84 / $3,646.07	Facility		$1,952.50	$2,607.84	$3,646.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,511.00 / $2,897.08 / $3,939.13	Professional		$2,511.00	$2,897.08	$3,939.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,191.34 / $18,246.18 / $23,193.18	Facility		$11,191.34	$18,246.18	$23,193.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,613.26 / $3,310.88 / $4,449.85	Professional		$2,613.26	$3,310.88	$4,449.85
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 $2,001.78 / $2,862.48 / $4,520.52	Professional		$2,001.78	$2,862.48	$4,520.52