Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $9,972.00 / $20,400.00	Facility		$2,747.00	$9,972.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,049.38 / $2,037.84 / $4,315.17	Professional		$1,049.38	$2,037.84	$4,315.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $971.00 / $971.00 / $971.00	Facility		$971.00	$971.00	$971.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,252.93 / $2,062.52 / $3,482.09	Professional		$1,252.93	$2,062.52	$3,482.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,331.37 / $2,758.40 / $3,070.07	Professional		$1,331.37	$2,758.40	$3,070.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,331.37 / $2,063.62 / $3,326.61	Facility		$1,331.37	$2,063.62	$3,326.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,882.54 / $2,147.87 / $3,987.18	Professional		$1,882.54	$2,147.87	$3,987.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,680.73 / $2,324.23 / $2,637.79	Facility		$1,680.73	$2,324.23	$2,637.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,558.29 / $2,914.11 / $8,747.00	Facility		$1,558.29	$2,914.11	$8,747.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,892.70 / $2,529.69 / $3,482.09	Professional		$1,892.70	$2,529.69	$3,482.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,813.93 / $11,944.47 / $14,473.89	Facility		$8,813.93	$11,944.47	$14,473.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,412.15 / $2,581.88 / $3,568.24	Professional		$2,412.15	$2,581.88	$3,568.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,557.00 / $2,269.90 / $3,432.28	Professional		$1,557.00	$2,269.90	$3,432.28