Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,327.17 / $7,920.26	Facility		$2,747.00	$4,327.17	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,645.28 / $2,464.75 / $5,557.45	Professional		$1,645.28	$2,464.75	$5,557.45
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 $2,224.21 / $3,445.07 / $5,235.51	Professional		$2,224.21	$3,445.07	$5,235.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,256.40 / $3,825.26 / $4,576.07	Professional		$3,256.40	$3,825.26	$4,576.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,464.75 / $3,524.59 / $4,855.70	Facility		$2,464.75	$3,524.59	$4,855.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,861.79 / $3,176.88 / $4,682.93	Professional		$2,861.79	$3,176.88	$4,682.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,492.00 / $3,433.08 / $3,567.08	Facility		$2,492.00	$3,433.08	$3,567.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,416.33 / $3,611.81 / $4,538.49	Facility		$2,416.33	$3,611.81	$4,538.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,214.71 / $3,654.00 / $4,889.76	Professional		$3,214.71	$3,654.00	$4,889.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,365.28	Facility		$3,820.30	$4,901.89	$6,365.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,252.90 / $4,155.38 / $5,584.88	Professional		$3,252.90	$4,155.38	$5,584.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,613.23 / $3,775.56 / $5,870.77	Professional		$2,613.23	$3,775.56	$5,870.77