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 $1,467.30 / $2,254.29 / $5,005.43	Professional		$1,467.30	$2,254.29	$5,005.43
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 $1,954.28 / $3,080.69 / $4,630.72	Professional		$1,954.28	$3,080.69	$4,630.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,937.64 / $3,447.97 / $4,128.13	Professional		$2,937.64	$3,447.97	$4,128.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,254.29 / $2,892.48 / $4,023.27	Facility		$2,254.29	$2,892.48	$4,023.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,432.57 / $2,764.46 / $4,146.68	Professional		$2,432.57	$2,764.46	$4,146.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,143.42 / $2,964.08 / $3,155.03	Facility		$2,143.42	$2,964.08	$3,155.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,254.29 / $2,983.68 / $4,043.37	Facility		$2,254.29	$2,983.68	$4,043.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,833.80 / $3,239.50 / $4,372.31	Professional		$2,833.80	$3,239.50	$4,372.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,972.99 / $16,468.63 / $21,141.18	Facility		$7,972.99	$16,468.63	$21,141.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,898.02 / $3,675.37 / $4,939.74	Professional		$2,898.02	$3,675.37	$4,939.74
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 $2,204.64 / $3,209.82 / $4,881.60	Professional		$2,204.64	$3,209.82	$4,881.60