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 $1,563.39 / $2,141.65 / $4,394.72	Professional		$1,563.39	$2,141.65	$4,394.72
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 $2,048.55 / $3,277.39 / $5,030.97	Professional		$2,048.55	$3,277.39	$5,030.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,124.82 / $3,675.58 / $4,391.16	Professional		$3,124.82	$3,675.58	$4,391.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,283.81 / $3,115.35 / $4,165.00	Facility		$2,283.81	$3,115.35	$4,165.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,752.38 / $3,002.60 / $4,503.89	Professional		$2,752.38	$3,002.60	$4,503.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,419.07 / $3,254.04 / $3,427.72	Facility		$2,419.07	$3,254.04	$3,427.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,254.15 / $3,218.40 / $4,364.30	Facility		$2,254.15	$3,218.40	$4,364.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,997.24 / $3,458.48 / $4,699.46	Professional		$2,997.24	$3,458.48	$4,699.46
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 $3,128.05 / $3,993.04 / $5,366.68	Professional		$3,128.05	$3,993.04	$5,366.68
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 $2,275.62 / $3,413.43 / $5,334.84	Professional		$2,275.62	$3,413.43	$5,334.84