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 $1,887.03 / $2,845.09 / $6,392.31	Professional		$1,887.03	$2,845.09	$6,392.31
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 $2,437.29 / $3,912.03 / $5,997.63	Professional		$2,437.29	$3,912.03	$5,997.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,755.00 / $4,406.37 / $5,276.72	Professional		$3,755.00	$4,406.37	$5,276.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,707.21 / $3,624.48 / $5,026.05	Facility		$2,707.21	$3,624.48	$5,026.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,997.60 / $3,529.80 / $5,373.76	Professional		$2,997.60	$3,529.80	$5,373.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,652.15 / $3,763.49 / $4,086.33	Facility		$2,652.15	$3,763.49	$4,086.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,702.84 / $3,669.78 / $5,218.96	Facility		$2,702.84	$3,669.78	$5,218.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,525.00 / $4,149.60 / $5,619.77	Professional		$3,525.00	$4,149.60	$5,619.77
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 $3,740.62 / $4,760.27 / $6,397.85	Professional		$3,740.62	$4,760.27	$6,397.85
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $17,192.00 / $22,956.00	Facility		$2,912.00	$17,192.00	$22,956.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,842.56 / $4,145.41 / $6,386.30	Professional		$2,842.56	$4,145.41	$6,386.30