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 $2,162.54 / $3,424.49 / $7,844.67	Professional		$2,162.54	$3,424.49	$7,844.67
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 $2,799.84 / $4,719.35 / $7,404.85	Professional		$2,799.84	$4,719.35	$7,404.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,578.59 / $5,398.77 / $6,434.08	Professional		$4,578.59	$5,398.77	$6,434.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,418.87 / $4,189.85 / $6,126.80	Facility		$2,418.87	$4,189.85	$6,126.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,748.24 / $4,398.00 / $6,622.67	Professional		$2,748.24	$4,398.00	$6,622.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,932.19 / $4,829.97 / $5,045.10	Facility		$2,932.19	$4,829.97	$5,045.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,418.87 / $4,496.24 / $6,432.32	Facility		$2,418.87	$4,496.24	$6,432.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,239.85 / $5,131.00 / $6,969.29	Professional		$4,239.85	$5,131.00	$6,969.29
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 $4,609.64 / $5,877.17 / $7,898.97	Professional		$4,609.64	$5,877.17	$7,898.97
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 $3,518.40 / $5,057.71 / $7,764.83	Professional		$3,518.40	$5,057.71	$7,764.83