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 $2,550.40 / $3,891.73 / $8,741.37	Professional		$2,550.40	$3,891.73	$8,741.37
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 $3,387.21 / $5,352.43 / $8,254.49	Professional		$3,387.21	$5,352.43	$8,254.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,098.72 / $6,015.34 / $7,165.01	Professional		$5,098.72	$6,015.34	$7,165.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,664.10 / $5,009.60 / $6,882.45	Facility		$3,664.10	$5,009.60	$6,882.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,269.72 / $4,921.07 / $7,381.61	Professional		$4,269.72	$4,921.07	$7,381.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,710.47 / $5,391.96 / $5,623.98	Facility		$3,710.47	$5,391.96	$5,623.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,664.10 / $5,009.60 / $7,168.57	Facility		$3,664.10	$5,009.60	$7,168.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,924.20 / $5,733.57 / $7,772.75	Professional		$4,924.20	$5,733.57	$7,772.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,472.14 / $39,875.19 / $51,188.76	Facility		$18,472.14	$39,875.19	$51,188.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,138.58 / $6,551.52 / $8,805.31	Professional		$5,138.58	$6,551.52	$8,805.31
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 $3,926.39 / $5,726.01 / $8,655.79	Professional		$3,926.39	$5,726.01	$8,655.79