Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,371.01 / $4,962.67 / $15,341.00	Facility		$2,371.01	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,431.70 / $2,197.65 / $5,220.02	Professional		$1,431.70	$2,197.65	$5,220.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,850.89 / $3,182.59 / $4,834.64	Professional		$1,850.89	$3,182.59	$4,834.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,056.68 / $3,580.36 / $4,295.41	Professional		$3,056.68	$3,580.36	$4,295.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,197.65 / $2,874.24 / $3,902.66	Facility		$2,197.65	$2,874.24	$3,902.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,486.25 / $2,876.25 / $4,349.32	Professional		$2,486.25	$2,876.25	$4,349.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,152.57 / $3,079.16 / $3,337.27	Facility		$2,152.57	$3,079.16	$3,337.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,238.15 / $3,171.30 / $4,681.00	Facility		$2,238.15	$3,171.30	$4,681.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,771.61 / $3,378.92 / $4,602.43	Professional		$2,771.61	$3,378.92	$4,602.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,063.47 / $3,887.67 / $5,225.07	Professional		$3,063.47	$3,887.67	$5,225.07
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 $2,276.64 / $3,367.54 / $5,249.97	Professional		$2,276.64	$3,367.54	$5,249.97