Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,006.13 / $7,920.26	Facility		$2,747.00	$5,006.13	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,910.26 / $2,856.25 / $6,429.45	Professional		$1,910.26	$2,856.25	$6,429.45
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 $2,572.69 / $4,005.29 / $6,063.52	Professional		$2,572.69	$4,005.29	$6,063.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,759.89 / $4,425.43 / $5,283.60	Professional		$3,759.89	$4,425.43	$5,283.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,804.98 / $4,033.74 / $5,565.98	Facility		$2,804.98	$4,033.74	$5,565.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,266.56 / $3,708.22 / $5,423.54	Professional		$3,266.56	$3,708.22	$5,423.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,728.70 / $3,829.13 / $4,131.22	Facility		$2,728.70	$3,829.13	$4,131.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,804.98 / $4,230.01 / $5,261.87	Facility		$2,804.98	$4,230.01	$5,261.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,691.17 / $4,260.06 / $5,689.00	Professional		$3,691.17	$4,260.06	$5,689.00
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 $3,771.37 / $4,812.56 / $6,468.13	Professional		$3,771.37	$4,812.56	$6,468.13
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,924.32 / $4,177.60 / $6,463.12	Professional		$2,924.32	$4,177.60	$6,463.12