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 $1,342.89 / $2,036.33 / $7,267.22	Professional		$1,342.89	$2,036.33	$7,267.22
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 $1,754.94 / $2,824.15 / $4,326.87	Professional		$1,754.94	$2,824.15	$4,326.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,692.20 / $3,162.73 / $3,783.22	Professional		$2,692.20	$3,162.73	$3,783.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,989.90 / $2,642.70 / $3,571.70	Facility		$1,989.90	$2,642.70	$3,571.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,338.13 / $2,572.80 / $3,872.45	Professional		$2,338.13	$2,572.80	$3,872.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,040.23 / $2,787.68 / $2,948.00	Facility		$2,040.23	$2,787.68	$2,948.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,989.90 / $2,757.60 / $3,749.90	Facility		$1,989.90	$2,757.60	$3,749.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,569.34 / $2,972.97 / $4,040.52	Professional		$2,569.34	$2,972.97	$4,040.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,397.43 / $20,285.91 / $26,041.52	Facility		$9,397.43	$20,285.91	$26,041.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,687.07 / $3,434.20 / $4,615.60	Professional		$2,687.07	$3,434.20	$4,615.60
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 $2,077.60 / $2,941.39 / $4,572.42	Professional		$2,077.60	$2,941.39	$4,572.42