Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,981.40 / $7,920.26	Facility		$2,747.00	$5,981.40	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,119.01 / $3,270.90 / $8,570.94	Professional		$2,119.01	$3,270.90	$8,570.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,988.78 / $5,143.85 / $8,083.38	Professional		$2,988.78	$5,143.85	$8,083.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,011.18 / $5,898.46 / $7,042.00	Professional		$5,011.18	$5,898.46	$7,042.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,087.71 / $4,569.35 / $6,259.83	Facility		$3,087.71	$4,569.35	$6,259.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,945.74 / $4,685.31 / $7,228.76	Professional		$3,945.74	$4,685.31	$7,228.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,394.23 / $5,037.85 / $5,507.40	Facility		$3,394.23	$5,037.85	$5,507.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,087.71 / $4,655.96 / $7,013.25	Facility		$3,087.71	$4,655.96	$7,013.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,379.10 / $5,543.57 / $7,585.02	Professional		$4,379.10	$5,543.57	$7,585.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23,802.20 / $51,381.00 / $65,959.06	Facility		$23,802.20	$51,381.00	$65,959.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,026.64 / $6,415.71 / $8,622.78	Professional		$5,026.64	$6,415.71	$8,622.78
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $51,981.00	Facility		$3,340.00	$26,100.00	$51,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,706.96 / $5,567.81 / $8,467.21	Professional		$3,706.96	$5,567.81	$8,467.21