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 $1,280.07 / $2,004.54 / $4,607.27	Professional		$1,280.07	$2,004.54	$4,607.27
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 $1,625.76 / $2,779.53 / $4,340.64	Professional		$1,625.76	$2,779.53	$4,340.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,700.84 / $3,173.39 / $3,795.37	Professional		$2,700.84	$3,173.39	$3,795.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,461.86 / $2,453.94 / $3,589.55	Facility		$1,461.86	$2,453.94	$3,589.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,791.83 / $2,575.98 / $3,885.57	Professional		$1,791.83	$2,575.98	$3,885.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,712.12 / $2,830.75 / $2,957.38	Facility		$1,712.12	$2,830.75	$2,957.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,459.04 / $2,642.44 / $3,763.63	Facility		$1,459.04	$2,642.44	$3,763.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,479.96 / $2,982.48 / $4,061.50	Professional		$2,479.96	$2,982.48	$4,061.50
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 $2,697.53 / $3,445.13 / $4,630.29	Professional		$2,697.53	$3,445.13	$4,630.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,044.32 / $2,896.13 / $4,543.89	Professional		$2,044.32	$2,896.13	$4,543.89