Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $7,074.00 / $21,481.15	Facility		$1,758.00	$7,074.00	$21,481.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,506.35 / $2,075.03 / $4,262.60	Professional		$1,506.35	$2,075.03	$4,262.60
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 $1,974.72 / $3,183.09 / $4,874.60	Professional		$1,974.72	$3,183.09	$4,874.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,035.71 / $3,565.24 / $4,265.93	Professional		$3,035.71	$3,565.24	$4,265.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,294.41 / $3,098.59 / $4,528.96	Facility		$2,294.41	$3,098.59	$4,528.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,667.52 / $2,910.02 / $4,365.04	Professional		$2,667.52	$2,910.02	$4,365.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,310.58 / $3,169.77 / $3,321.19	Facility		$2,310.58	$3,169.77	$3,321.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,294.41 / $3,143.34 / $4,224.43	Facility		$2,294.41	$3,143.34	$4,224.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,891.39 / $3,359.20 / $4,552.01	Professional		$2,891.39	$3,359.20	$4,552.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,028.41 / $3,868.94 / $5,199.89	Professional		$3,028.41	$3,868.94	$5,199.89
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $20,708.00 / $24,872.00	Facility		$3,028.00	$20,708.00	$24,872.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,289.59 / $3,311.70 / $5,143.96	Professional		$2,289.59	$3,311.70	$5,143.96