Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $8,307.52 / $20,400.00	Facility		$2,747.00	$8,307.52	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,609.84 / $4,008.20 / $10,669.50	Professional		$2,609.84	$4,008.20	$10,669.50
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 $3,676.65 / $6,453.58 / $10,044.24	Professional		$3,676.65	$6,453.58	$10,044.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,234.45 / $7,313.99 / $8,760.98	Professional		$6,234.45	$7,313.99	$8,760.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,855.40 / $5,732.80 / $8,085.86	Facility		$3,855.40	$5,732.80	$8,085.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,504.68 / $5,800.46 / $8,949.29	Professional		$4,504.68	$5,800.46	$8,949.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,106.03 / $5,780.37 / $6,843.38	Facility		$4,106.03	$5,780.37	$6,843.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,855.40 / $5,818.51 / $8,741.45	Facility		$3,855.40	$5,818.51	$8,741.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,142.06 / $6,895.88 / $9,412.79	Professional		$5,142.06	$6,895.88	$9,412.79
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 $6,265.31 / $7,972.03 / $10,714.49	Professional		$6,265.31	$7,972.03	$10,714.49
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,345.20 / $6,483.17 / $10,553.73	Professional		$4,345.20	$6,483.17	$10,553.73