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 $1,209.32 / $1,850.06 / $4,429.31	Professional		$1,209.32	$1,850.06	$4,429.31
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 $1,614.08 / $2,658.65 / $4,151.83	Professional		$1,614.08	$2,658.65	$4,151.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,607.73 / $3,054.49 / $3,664.52	Professional		$2,607.73	$3,054.49	$3,664.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,766.66 / $2,460.96 / $3,296.70	Facility		$1,766.66	$2,460.96	$3,296.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,086.92 / $2,414.28 / $3,721.36	Professional		$2,086.92	$2,414.28	$3,721.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,773.27 / $2,452.19 / $2,828.74	Facility		$1,773.27	$2,452.19	$2,828.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,766.66 / $2,543.23 / $3,610.88	Facility		$1,766.66	$2,543.23	$3,610.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,369.12 / $2,833.18 / $3,877.06	Professional		$2,369.12	$2,833.18	$3,877.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,629.08 / $16,468.63 / $21,141.18	Facility		$7,629.08	$16,468.63	$21,141.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,588.05 / $3,295.27 / $4,428.88	Professional		$2,588.05	$3,295.27	$4,428.88
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 $1,916.18 / $2,748.30 / $4,396.63	Professional		$1,916.18	$2,748.30	$4,396.63