Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,724.31 / $7,920.26 / $20,400.00	Facility		$2,724.31	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,267.83 / $1,839.72 / $4,300.27	Professional		$1,267.83	$1,839.72	$4,300.27
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 $1,646.51 / $2,641.31 / $4,053.49	Professional		$1,646.51	$2,641.31	$4,053.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,518.27 / $2,961.75 / $3,538.81	Professional		$2,518.27	$2,961.75	$3,538.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,747.73 / $2,504.01 / $3,669.45	Facility		$1,747.73	$2,504.01	$3,669.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,076.21 / $2,419.19 / $3,628.80	Professional		$2,076.21	$2,419.19	$3,628.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,947.21 / $2,607.64 / $2,761.74	Facility		$1,947.21	$2,607.64	$2,761.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,839.72 / $2,662.00 / $5,217.00	Facility		$1,839.72	$2,662.00	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,388.32 / $2,817.38 / $3,786.55	Professional		$2,388.32	$2,817.38	$3,786.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,527.70 / $20,006.47 / $24,937.25	Facility		$15,527.70	$20,006.47	$24,937.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,520.40 / $3,217.22 / $4,323.97	Professional		$2,520.40	$3,217.22	$4,323.97
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,967.28 / $2,786.01 / $4,359.87	Professional		$1,967.28	$2,786.01	$4,359.87