Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,101.45 / $7,920.26	Facility		$2,747.00	$7,101.45	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,536.67 / $4,076.82 / $10,168.20	Professional		$2,536.67	$4,076.82	$10,168.20
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 $3,884.57 / $6,116.11 / $9,594.83	Professional		$3,884.57	$6,116.11	$9,594.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,938.64 / $6,997.31 / $8,345.29	Professional		$5,938.64	$6,997.31	$8,345.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,828.24 / $5,813.36 / $7,739.87	Facility		$3,828.24	$5,813.36	$7,739.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,854.38 / $5,630.84 / $8,580.70	Professional		$4,854.38	$5,630.84	$8,580.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,166.80 / $5,979.27 / $6,537.19	Facility		$4,166.80	$5,979.27	$6,537.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,828.24 / $5,813.36 / $8,329.58	Facility		$3,828.24	$5,813.36	$8,329.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,577.75 / $6,587.66 / $9,013.61	Professional		$5,577.75	$6,587.66	$9,013.61
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 $5,970.71 / $7,615.34 / $10,235.09	Professional		$5,970.71	$7,615.34	$10,235.09
United Facility/Professional Facility Modifier Low / Median / High Price $4,041.01 / $26,100.00 / $49,245.00	Facility		$4,041.01	$26,100.00	$49,245.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,451.35 / $6,580.89 / $10,232.24	Professional		$4,451.35	$6,580.89	$10,232.24