Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $16,218.10 / $16,218.10	Facility		$3,467.37	$16,218.10	$16,218.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,818.38 / $4,466.84	Professional		$2,344.23	$2,818.38	$4,466.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $10,471.29	Facility		$5,888.44	$5,888.44	$10,471.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $7,762.47 / $9,549.93	Professional		$3,630.78	$7,762.47	$9,549.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,981.07 / $5,011.87	Professional		$3,467.37	$3,981.07	$5,011.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $5,011.87	Facility		$3,630.78	$3,630.78	$5,011.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,897.79 / $9,549.93	Facility		$2,511.89	$4,897.79	$9,549.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $3,981.07 / $5,011.87	Professional		$79.43	$3,981.07	$5,011.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $10,715.19 / $14,125.38	Facility		$5,370.32	$10,715.19	$14,125.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,090.30 / $4,365.16	Professional		$2,884.03	$3,090.30	$4,365.16
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $5,754.40	Facility		$4,365.16	$4,365.16	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $4,365.16	Professional		$1,513.56	$1,513.56	$4,365.16