Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,668.60 / $7,920.26 / $20,400.00	Facility		$2,668.60	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,129.24 / $1,773.81 / $4,225.14	Professional		$1,129.24	$1,773.81	$4,225.14
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 $1,417.47 / $2,531.42 / $3,978.75	Professional		$1,417.47	$2,531.42	$3,978.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,479.81 / $2,910.70 / $3,484.75	Professional		$2,479.81	$2,910.70	$3,484.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,193.33 / $2,248.69 / $3,231.70	Facility		$1,193.33	$2,248.69	$3,231.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,233.28 / $2,361.73 / $3,562.41	Professional		$1,233.28	$2,361.73	$3,562.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,564.58 / $2,581.51 / $2,710.82	Facility		$1,564.58	$2,581.51	$2,710.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,167.24 / $2,424.19 / $3,446.99	Facility		$1,167.24	$2,424.19	$3,446.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,231.84 / $2,752.40 / $3,715.44	Professional		$2,231.84	$2,752.40	$3,715.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $21,418.17 / $26,781.36	Facility		$16,860.72	$21,418.17	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,469.96 / $3,157.90 / $4,244.25	Professional		$2,469.96	$3,157.90	$4,244.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $17,192.00 / $26,830.35	Facility		$2,912.00	$17,192.00	$26,830.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,868.16 / $2,724.41 / $4,160.57	Professional		$1,868.16	$2,724.41	$4,160.57