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 $1,377.26 / $2,141.92 / $4,829.28	Professional		$1,377.26	$2,141.92	$4,829.28
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 $1,840.87 / $2,967.72 / $4,542.22	Professional		$1,840.87	$2,967.72	$4,542.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,832.96 / $3,329.92 / $3,981.03	Professional		$2,832.96	$3,329.92	$3,981.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,141.92 / $2,773.26 / $3,765.50	Facility		$2,141.92	$2,773.26	$3,765.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,487.13 / $2,713.23 / $4,674.39	Professional		$2,487.13	$2,713.23	$4,674.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,159.38 / $2,990.88 / $3,094.73	Facility		$2,159.38	$2,990.88	$3,094.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,034.82 / $2,938.80 / $3,945.54	Facility		$2,034.82	$2,938.80	$3,945.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,821.00 / $3,217.87 / $4,270.21	Professional		$2,821.00	$3,217.87	$4,270.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,543.33 / $44,586.59 / $52,124.27	Facility		$33,543.33	$44,586.59	$52,124.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,827.91 / $3,605.13 / $4,845.33	Professional		$2,827.91	$3,605.13	$4,845.33
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $49,245.00	Facility		$3,340.00	$26,100.00	$49,245.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,189.76 / $3,080.16 / $4,763.52	Professional		$2,189.76	$3,080.16	$4,763.52