Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,823.66 / $7,074.00 / $20,400.00	Facility		$1,823.66	$7,074.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,166.77 / $1,696.50 / $3,965.73	Professional		$1,166.77	$1,696.50	$3,965.73
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 $1,515.77 / $2,436.30 / $3,737.82	Professional		$1,515.77	$2,436.30	$3,737.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,322.58 / $2,731.08 / $3,263.81	Professional		$2,322.58	$2,731.08	$3,263.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,620.00 / $2,274.16 / $3,140.37	Facility		$1,620.00	$2,274.16	$3,140.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,951.80 / $2,230.54 / $3,345.81	Professional		$1,951.80	$2,230.54	$3,345.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,764.85 / $2,439.30 / $2,546.67	Facility		$1,764.85	$2,439.30	$2,546.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,696.50 / $2,426.00 / $4,379.38	Facility		$1,696.50	$2,426.00	$4,379.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,217.96 / $2,607.12 / $3,491.38	Professional		$2,217.96	$2,607.12	$3,491.38
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 $2,324.19 / $2,966.68 / $3,987.25	Professional		$2,324.19	$2,966.68	$3,987.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $17,192.00 / $24,231.00	Facility		$2,912.00	$17,192.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,797.32 / $2,553.39 / $3,983.08	Professional		$1,797.32	$2,553.39	$3,983.08