Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $8,036.55 / $20,400.00	Facility		$2,747.00	$8,036.55	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,737.26 / $4,300.51 / $10,321.50	Professional		$2,737.26	$4,300.51	$10,321.50
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 $3,912.77 / $6,248.55 / $9,718.74	Professional		$3,912.77	$6,248.55	$9,718.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,028.23 / $7,074.85 / $8,471.19	Professional		$6,028.23	$7,074.85	$8,471.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,941.87 / $5,891.86 / $7,939.80	Facility		$3,941.87	$5,891.86	$7,939.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,869.68 / $5,611.95 / $8,658.44	Professional		$4,869.68	$5,611.95	$8,658.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,301.39 / $6,033.02 / $6,621.61	Facility		$4,301.39	$6,033.02	$6,621.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,941.87 / $5,891.86 / $8,462.58	Facility		$3,941.87	$5,891.86	$8,462.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,529.58 / $6,702.91 / $9,112.49	Professional		$5,529.58	$6,702.91	$9,112.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,898.62 / $20,285.91 / $26,041.52	Facility		$9,898.62	$20,285.91	$26,041.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6,064.81 / $7,713.68 / $10,367.27	Professional		$6,064.81	$7,713.68	$10,367.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,568.63 / $6,472.25 / $10,264.21	Professional		$4,568.63	$6,472.25	$10,264.21