Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,116.62 / $20,400.00	Facility		$2,747.00	$5,116.62	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,477.57 / $2,323.44 / $4,289.00	Professional		$1,477.57	$2,323.44	$4,289.00
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 $1,999.85 / $3,222.89 / $4,936.56	Professional		$1,999.85	$3,222.89	$4,936.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,072.50 / $3,608.86 / $4,317.64	Professional		$3,072.50	$3,608.86	$4,317.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,323.44 / $3,136.64 / $4,586.35	Facility		$2,323.44	$3,136.64	$4,586.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,700.08 / $2,945.54 / $4,418.31	Professional		$2,700.08	$2,945.54	$4,418.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,301.86 / $3,183.17 / $3,363.40	Facility		$2,301.86	$3,183.17	$3,363.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,323.44 / $3,183.11 / $4,278.49	Facility		$2,323.44	$3,183.11	$4,278.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,928.06 / $3,391.84 / $4,615.22	Professional		$2,928.06	$3,391.84	$4,615.22
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 $3,067.77 / $3,918.11 / $5,265.98	Professional		$3,067.77	$3,918.11	$5,265.98
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 $2,320.31 / $3,383.80 / $5,212.97	Professional		$2,320.31	$3,383.80	$5,212.97