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 $1,354.63 / $2,115.67 / $5,458.12	Professional		$1,354.63	$2,115.67	$5,458.12
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 $1,876.47 / $3,226.09 / $5,236.93	Professional		$1,876.47	$3,226.09	$5,236.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,206.55 / $3,755.91 / $4,506.02	Professional		$3,206.55	$3,755.91	$4,506.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,010.14 / $2,989.05 / $3,788.13	Facility		$2,010.14	$2,989.05	$3,788.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,298.13 / $3,001.80 / $4,724.87	Professional		$2,298.13	$3,001.80	$4,724.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,105.15 / $2,978.25 / $3,604.60	Facility		$2,105.15	$2,978.25	$3,604.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,010.14 / $2,989.05 / $4,564.22	Facility		$2,010.14	$2,989.05	$4,564.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,703.96 / $3,550.43 / $4,893.47	Professional		$2,703.96	$3,550.43	$4,893.47
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 $3,271.34 / $4,199.09 / $5,643.62	Professional		$3,271.34	$4,199.09	$5,643.62
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 $2,346.04 / $3,359.21 / $5,420.03	Professional		$2,346.04	$3,359.21	$5,420.03