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 $1,274.82 / $2,004.86 / $4,723.96	Professional		$1,274.82	$2,004.86	$4,723.96
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 $1,613.35 / $2,831.88 / $4,449.79	Professional		$1,613.35	$2,831.88	$4,449.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,770.81 / $3,255.03 / $3,893.69	Professional		$2,770.81	$3,255.03	$3,893.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,414.22 / $2,515.60 / $3,604.69	Facility		$1,414.22	$2,515.60	$3,604.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,544.35 / $2,641.99 / $3,985.12	Professional		$1,544.35	$2,641.99	$3,985.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,741.87 / $2,873.48 / $3,031.75	Facility		$1,741.87	$2,873.48	$3,031.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,367.95 / $2,710.64 / $3,859.73	Facility		$1,367.95	$2,710.64	$3,859.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,526.13 / $3,057.96 / $4,164.13	Professional		$2,526.13	$3,057.96	$4,164.13
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 $2,765.79 / $3,531.76 / $4,746.72	Professional		$2,765.79	$3,531.76	$4,746.72
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 $2,007.91 / $2,968.20 / $4,658.89	Professional		$2,007.91	$2,968.20	$4,658.89