Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,528.00 / $7,920.26 / $20,400.00	Facility		$2,528.00	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,161.13 / $1,647.60 / $4,134.88	Professional		$1,161.13	$1,647.60	$4,134.88
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 $1,459.68 / $2,447.03 / $3,639.11	Professional		$1,459.68	$2,447.03	$3,639.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,432.21 / $2,850.77 / $3,417.88	Professional		$2,432.21	$2,850.77	$3,417.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,647.60 / $2,257.21 / $3,010.77	Facility		$1,647.60	$2,257.21	$3,010.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,945.80 / $2,251.80 / $3,474.20	Professional		$1,945.80	$2,251.80	$3,474.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,696.23 / $2,345.67 / $2,641.81	Facility		$1,696.23	$2,345.67	$2,641.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,647.60 / $2,355.12 / $3,372.33	Facility		$1,647.60	$2,355.12	$3,372.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,183.58 / $2,574.15 / $3,546.89	Professional		$2,183.58	$2,574.15	$3,546.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,397.43 / $20,285.91 / $26,041.52	Facility		$9,397.43	$20,285.91	$26,041.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,309.05 / $3,077.51 / $4,136.21	Professional		$2,309.05	$3,077.51	$4,136.21
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 $1,780.95 / $2,423.98 / $3,788.43	Professional		$1,780.95	$2,423.98	$3,788.43