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 $1,260.53 / $1,907.41 / $4,397.93	Professional		$1,260.53	$1,907.41	$4,397.93
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 $1,620.22 / $2,685.56 / $4,024.93	Professional		$1,620.22	$2,685.56	$4,024.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,579.59 / $3,022.25 / $3,625.84	Professional		$2,579.59	$3,022.25	$3,625.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,817.28 / $2,499.21 / $3,245.30	Facility		$1,817.28	$2,499.21	$3,245.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,114.10 / $2,421.09 / $3,654.99	Professional		$2,114.10	$2,421.09	$3,654.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,766.00 / $2,546.75 / $2,807.30	Facility		$1,766.00	$2,546.75	$2,807.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,888.62 / $2,731.99 / $5,217.00	Facility		$1,888.62	$2,731.99	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,386.54 / $2,843.76 / $3,854.80	Professional		$2,386.54	$2,843.76	$3,854.80
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 $2,562.36 / $3,270.29 / $4,395.31	Professional		$2,562.36	$3,270.29	$4,395.31
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 $1,901.28 / $2,812.32 / $4,271.55	Professional		$1,901.28	$2,812.32	$4,271.55