Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,654.77 / $7,920.26 / $20,400.00	Facility		$2,654.77	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,181.57 / $1,853.72 / $4,476.04	Professional		$1,181.57	$1,853.72	$4,476.04
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 $1,557.44 / $2,574.52 / $3,986.87	Professional		$1,557.44	$2,574.52	$3,986.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,623.89 / $3,082.79 / $3,687.24	Professional		$2,623.89	$3,082.79	$3,687.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,415.52 / $2,338.69 / $3,258.05	Facility		$1,415.52	$2,338.69	$3,258.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,686.96 / $2,446.54 / $3,774.65	Professional		$1,686.96	$2,446.54	$3,774.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,641.19 / $2,571.46 / $2,872.96	Facility		$1,641.19	$2,571.46	$2,872.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,423.62 / $2,659.36 / $5,217.00	Facility		$1,423.62	$2,659.36	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,296.09 / $2,751.38 / $3,799.05	Professional		$2,296.09	$2,751.38	$3,799.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,536.02 / $8,364.56 / $10,637.18	Facility		$6,536.02	$8,364.56	$10,637.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,461.96 / $3,238.83 / $4,266.39	Professional		$2,461.96	$3,238.83	$4,266.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,869.85 / $2,668.93 / $4,171.27	Professional		$1,869.85	$2,668.93	$4,171.27