Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,528.00 / $7,920.26 / $20,400.00	Facility		$2,528.00	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,180.43 / $1,804.86 / $4,072.23	Professional		$1,180.43	$1,804.86	$4,072.23
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 $1,551.04 / $2,480.86 / $3,834.20	Professional		$1,551.04	$2,480.86	$3,834.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,390.46 / $2,805.05 / $3,359.20	Professional		$2,390.46	$2,805.05	$3,359.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,768.61 / $2,336.16 / $3,157.75	Facility		$1,768.61	$2,336.16	$3,157.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,074.38 / $2,286.05 / $3,432.29	Professional		$2,074.38	$2,286.05	$3,432.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,812.51 / $2,462.15 / $2,612.33	Facility		$1,812.51	$2,462.15	$2,612.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,768.61 / $2,404.08 / $3,321.71	Facility		$1,768.61	$2,404.08	$3,321.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,272.08 / $2,633.64 / $3,580.45	Professional		$2,272.08	$2,633.64	$3,580.45
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 $2,382.01 / $3,043.17 / $4,090.05	Professional		$2,382.01	$3,043.17	$4,090.05
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 $1,869.83 / $2,584.75 / $4,082.14	Professional		$1,869.83	$2,584.75	$4,082.14