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 $1,078.51 / $1,654.79 / $3,736.74	Professional		$1,078.51	$1,654.79	$3,736.74
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 $1,412.12 / $2,282.87 / $3,516.56	Professional		$1,412.12	$2,282.87	$3,516.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,194.75 / $2,573.00 / $3,084.18	Professional		$2,194.75	$2,573.00	$3,084.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,647.25 / $2,142.71 / $2,863.65	Facility		$1,647.25	$2,142.71	$2,863.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,922.98 / $2,089.73 / $3,146.69	Professional		$1,922.98	$2,089.73	$3,146.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,638.58 / $2,242.06 / $2,395.92	Facility		$1,638.58	$2,242.06	$2,395.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,647.25 / $2,213.28 / $3,045.40	Facility		$1,647.25	$2,213.28	$3,045.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,069.29 / $2,402.75 / $3,283.84	Professional		$2,069.29	$2,402.75	$3,283.84
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 $2,183.36 / $2,791.07 / $3,751.22	Professional		$2,183.36	$2,791.07	$3,751.22
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 $1,677.27 / $2,396.11 / $3,691.37	Professional		$1,677.27	$2,396.11	$3,691.37