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 $1,417.93 / $2,148.37 / $4,845.00	Professional		$1,417.93	$2,148.37	$4,845.00
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 $1,853.66 / $2,979.47 / $4,563.85	Professional		$1,853.66	$2,979.47	$4,563.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,842.00 / $3,338.44 / $3,993.73	Professional		$2,842.00	$3,338.44	$3,993.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,040.95 / $2,785.53 / $3,772.30	Facility		$2,040.95	$2,785.53	$3,772.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,438.90 / $2,720.87 / $4,087.31	Professional		$2,438.90	$2,720.87	$4,087.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,172.01 / $2,944.23 / $3,109.47	Facility		$2,172.01	$2,944.23	$3,109.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,040.95 / $2,906.64 / $3,955.84	Facility		$2,040.95	$2,906.64	$3,955.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,714.00 / $3,153.70 / $4,267.93	Professional		$2,714.00	$3,153.70	$4,267.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,472.03 / $9,164.84 / $11,765.12	Facility		$4,472.03	$9,164.84	$11,765.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,835.28 / $3,622.30 / $4,868.41	Professional		$2,835.28	$3,622.30	$4,868.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,102.77 / $3,105.90 / $4,824.77	Professional		$2,102.77	$3,105.90	$4,824.77