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 $1,041.80 / $2,076.42 / $4,288.87	Professional		$1,041.80	$2,076.42	$4,288.87
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 $1,273.36 / $2,085.01 / $3,553.45	Professional		$1,273.36	$2,085.01	$3,553.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,353.73 / $2,796.89 / $3,121.63	Professional		$1,353.73	$2,796.89	$3,121.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,353.73 / $2,098.28 / $3,296.06	Facility		$1,353.73	$2,098.28	$3,296.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,865.07 / $2,157.63 / $4,066.47	Professional		$1,865.07	$2,157.63	$4,066.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,654.08 / $2,287.38 / $2,686.70	Facility		$1,654.08	$2,287.38	$2,686.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,582.07 / $2,917.80 / $8,343.00	Facility		$1,582.07	$2,917.80	$8,343.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,878.12 / $2,576.40 / $3,553.45	Professional		$1,878.12	$2,576.40	$3,553.45
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 $2,460.12 / $2,629.76 / $3,639.20	Professional		$2,460.12	$2,629.76	$3,639.20
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 $1,591.05 / $2,349.75 / $3,495.92	Professional		$1,591.05	$2,349.75	$3,495.92