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 $1,686.07 / $2,610.10 / $6,318.82	Professional		$1,686.07	$2,610.10	$6,318.82
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 $2,412.56 / $3,872.72 / $5,914.04	Professional		$2,412.56	$3,872.72	$5,914.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,723.31 / $4,361.20 / $5,232.18	Professional		$3,723.31	$4,361.20	$5,232.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,270.67 / $3,534.48 / $4,415.93	Facility		$2,270.67	$3,534.48	$4,415.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,911.02 / $3,446.94 / $5,289.03	Professional		$2,911.02	$3,446.94	$5,289.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,431.71 / $3,446.48 / $4,029.38	Facility		$2,431.71	$3,446.48	$4,029.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,270.67 / $3,620.18 / $5,160.60	Facility		$2,270.67	$3,620.18	$5,160.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,395.04 / $4,105.02 / $5,556.94	Professional		$3,395.04	$4,105.02	$5,556.94
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 $3,697.56 / $4,693.93 / $6,308.69	Professional		$3,697.56	$4,693.93	$6,308.69
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 $2,706.19 / $3,882.77 / $6,228.43	Professional		$2,706.19	$3,882.77	$6,228.43