Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $8,878.56 / $20,400.00	Facility		$2,747.00	$8,878.56	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,995.72 / $4,588.20 / $11,924.00	Professional		$2,995.72	$4,588.20	$11,924.00
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 $4,137.97 / $7,213.81 / $11,233.14	Professional		$4,137.97	$7,213.81	$11,233.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,960.50 / $8,176.65 / $9,781.26	Professional		$6,960.50	$8,176.65	$9,781.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,288.41 / $6,633.51 / $8,345.19	Facility		$4,288.41	$6,633.51	$8,345.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,497.82 / $6,488.79 / $10,011.28	Professional		$5,497.82	$6,488.79	$10,011.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,592.58 / $6,350.93 / $7,653.41	Facility		$4,592.58	$6,350.93	$7,653.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,288.41 / $6,809.46 / $9,780.62	Facility		$4,288.41	$6,809.46	$9,780.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,995.44 / $7,715.96 / $10,489.74	Professional		$5,995.44	$7,715.96	$10,489.74
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 $7,009.50 / $8,915.65 / $11,982.73	Professional		$7,009.50	$8,915.65	$11,982.73
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 $5,180.14 / $7,278.47 / $11,398.53	Professional		$5,180.14	$7,278.47	$11,398.53