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 $1,401.18 / $2,200.58 / $4,195.18	Professional		$1,401.18	$2,200.58	$4,195.18
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 $1,898.90 / $3,003.02 / $4,672.04	Professional		$1,898.90	$3,003.02	$4,672.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,904.76 / $3,414.74 / $4,081.92	Professional		$2,904.76	$3,414.74	$4,081.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,882.26 / $2,843.94 / $3,855.60	Facility		$1,882.26	$2,843.94	$3,855.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,400.06 / $2,777.62 / $4,182.49	Professional		$2,400.06	$2,777.62	$4,182.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,226.28 / $3,017.59 / $3,183.17	Facility		$2,226.28	$3,017.59	$3,183.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,882.26 / $2,877.12 / $4,052.81	Facility		$1,882.26	$2,877.12	$4,052.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,736.28 / $3,211.64 / $4,375.87	Professional		$2,736.28	$3,211.64	$4,375.87
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 $2,904.79 / $3,708.16 / $4,983.80	Professional		$2,904.79	$3,708.16	$4,983.80
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 $2,202.23 / $3,185.70 / $4,947.70	Professional		$2,202.23	$3,185.70	$4,947.70