Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $8,878.56 / $20,400.00	Facility		$2,747.00	$8,878.56	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,055.19 / $2,017.44 / $4,097.67	Professional		$1,055.19	$2,017.44	$4,097.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $853.00 / $853.00 / $853.00	Facility		$853.00	$853.00	$853.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,308.97 / $1,985.51 / $3,380.21	Professional		$1,308.97	$1,985.51	$3,380.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,279.42 / $2,645.97 / $2,950.27	Professional		$1,279.42	$2,645.97	$2,950.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,280.31 / $2,036.71 / $3,415.46	Facility		$1,280.31	$2,036.71	$3,415.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,794.54 / $2,104.90 / $3,851.97	Professional		$1,794.54	$2,104.90	$3,851.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,571.32 / $2,330.16 / $2,542.65	Facility		$1,571.32	$2,330.16	$2,542.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,496.04 / $2,912.50 / $7,339.00	Facility		$1,496.04	$2,912.50	$7,339.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,851.86 / $2,534.56 / $3,411.71	Professional		$1,851.86	$2,534.56	$3,411.71
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 $2,330.35 / $2,529.37 / $3,447.23	Professional		$2,330.35	$2,529.37	$3,447.23
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 $1,649.89 / $2,254.23 / $3,510.74	Professional		$1,649.89	$2,254.23	$3,510.74