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 $1,908.89 / $2,890.61 / $6,502.38	Professional		$1,908.89	$2,890.61	$6,502.38
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 $2,508.46 / $3,988.05 / $6,134.32	Professional		$2,508.46	$3,988.05	$6,134.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,801.02 / $4,476.92 / $5,341.39	Professional		$3,801.02	$4,476.92	$5,341.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,746.08 / $3,943.40 / $5,081.30	Facility		$2,746.08	$3,943.40	$5,081.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,354.42 / $3,730.20 / $5,489.05	Professional		$3,354.42	$3,730.20	$5,489.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,774.70 / $3,988.30 / $4,179.46	Facility		$2,774.70	$3,988.30	$4,179.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,746.08 / $4,057.92 / $5,323.65	Facility		$2,746.08	$4,057.92	$5,323.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,687.42 / $4,253.64 / $5,761.28	Professional		$3,687.42	$4,253.64	$5,761.28
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 $3,815.65 / $4,868.76 / $6,543.66	Professional		$3,815.65	$4,868.76	$6,543.66
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 $2,906.40 / $4,210.49 / $6,529.73	Professional		$2,906.40	$4,210.49	$6,529.73