Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $15,848.93 / $15,848.93	Facility		$6,606.93	$15,848.93	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,691.53 / $2,884.03	Professional		$2,454.71	$2,691.53	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $10,232.93	Facility		$5,754.40	$5,754.40	$10,232.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,548.13 / $5,011.87	Professional		$2,818.38	$3,548.13	$5,011.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $7,585.78 / $9,120.11	Professional		$3,548.13	$7,585.78	$9,120.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility		$3,548.13	$3,548.13	$3,548.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,890.45 / $5,011.87	Professional		$3,548.13	$3,890.45	$5,011.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,890.45 / $5,495.41	Facility		$3,162.28	$3,890.45	$5,495.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $4,897.79 / $10,232.93	Facility		$3,388.44	$4,897.79	$10,232.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $3,548.13 / $4,897.79	Professional		$79.43	$3,548.13	$4,897.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $10,471.29 / $13,803.84	Facility		$6,165.95	$10,471.29	$13,803.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,548.13 / $4,570.88	Professional		$2,630.27	$3,548.13	$4,570.88
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $5,623.41	Facility		$4,265.80	$4,265.80	$5,623.41
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $4,265.80	Professional		$1,479.11	$1,479.11	$4,265.80