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 $1,569.17 / $2,383.14 / $5,212.97	Professional		$1,569.17	$2,383.14	$5,212.97
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 $2,092.80 / $3,271.50 / $4,946.39	Professional		$2,092.80	$3,271.50	$4,946.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,033.00 / $3,567.47 / $4,262.13	Professional		$3,033.00	$3,567.47	$4,262.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,383.14 / $2,971.04 / $5,123.75	Facility		$2,383.14	$2,971.04	$5,123.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,688.87 / $3,144.64 / $5,345.15	Professional		$2,688.87	$3,144.64	$5,345.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,210.77 / $3,210.48 / $3,398.24	Facility		$2,210.77	$3,210.48	$3,398.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,263.98 / $3,146.50 / $4,294.79	Facility		$2,263.98	$3,146.50	$4,294.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,103.72 / $3,591.81 / $4,778.18	Professional		$3,103.72	$3,591.81	$4,778.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,898.62 / $20,285.91 / $26,041.52	Facility		$9,898.62	$20,285.91	$26,041.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,078.84 / $3,931.71 / $5,276.47	Professional		$3,078.84	$3,931.71	$5,276.47
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,498.96 / $3,499.67 / $5,242.39	Professional		$2,498.96	$3,499.67	$5,242.39