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 $1,310.73 / $2,059.16 / $4,814.14	Professional		$1,310.73	$2,059.16	$4,814.14
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 $1,678.22 / $2,885.14 / $4,535.35	Professional		$1,678.22	$2,885.14	$4,535.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,823.15 / $3,317.08 / $3,967.24	Professional		$2,823.15	$3,317.08	$3,967.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,501.68 / $2,562.91 / $3,729.80	Facility		$1,501.68	$2,562.91	$3,729.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,719.22 / $2,696.30 / $4,061.99	Professional		$1,719.22	$2,696.30	$4,061.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,775.95 / $2,868.27 / $3,090.04	Facility		$1,775.95	$2,868.27	$3,090.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,456.34 / $2,762.10 / $3,932.67	Facility		$1,456.34	$2,762.10	$3,932.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,579.40 / $3,115.70 / $4,235.20	Professional		$2,579.40	$3,115.70	$4,235.20
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 $2,818.68 / $3,599.67 / $4,837.99	Professional		$2,818.68	$3,599.67	$4,837.99
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 $2,047.47 / $3,026.68 / $4,747.97	Professional		$2,047.47	$3,026.68	$4,747.97