Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,996.09 / $7,920.26	Facility		$2,747.00	$4,996.09	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,906.90 / $2,851.17 / $6,416.54	Professional		$1,906.90	$2,851.17	$6,416.54
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 $2,567.10 / $4,007.40 / $6,051.72	Professional		$2,567.10	$4,007.40	$6,051.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,751.32 / $4,415.88 / $5,271.55	Professional		$3,751.32	$4,415.88	$5,271.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,834.96 / $4,076.47 / $5,609.14	Facility		$2,834.96	$4,076.47	$5,609.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,277.80 / $3,693.96 / $5,412.18	Professional		$3,277.80	$3,693.96	$5,412.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,925.79 / $3,842.23 / $4,123.18	Facility		$2,925.79	$3,842.23	$4,123.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,834.96 / $4,096.08 / $5,252.43	Facility		$2,834.96	$4,096.08	$5,252.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,693.96 / $4,208.18 / $5,679.62	Professional		$3,693.96	$4,208.18	$5,679.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,898.62 / $20,285.91 / $26,041.52	Facility		$9,898.62	$20,285.91	$26,041.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,764.60 / $4,803.20 / $6,455.55	Professional		$3,764.60	$4,803.20	$6,455.55
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $20,708.00 / $24,872.00	Facility		$3,028.00	$20,708.00	$24,872.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,038.58 / $4,274.54 / $6,425.12	Professional		$3,038.58	$4,274.54	$6,425.12