Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,441.21 / $7,920.26	Facility		$2,747.00	$4,441.21	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,688.81 / $2,530.76 / $5,703.90	Professional		$1,688.81	$2,530.76	$5,703.90
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 $2,283.94 / $3,556.36 / $5,374.17	Professional		$2,283.94	$3,556.36	$5,374.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,342.86 / $3,927.68 / $4,697.57	Professional		$3,342.86	$3,927.68	$4,697.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,530.76 / $3,653.87 / $4,987.13	Facility		$2,530.76	$3,653.87	$4,987.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,939.18 / $3,263.68 / $4,809.56	Professional		$2,939.18	$3,263.68	$4,809.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,565.91 / $3,490.03 / $3,661.55	Facility		$2,565.91	$3,490.03	$3,661.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,495.94 / $3,731.33 / $4,662.06	Facility		$2,495.94	$3,731.33	$4,662.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,300.55 / $3,735.19 / $5,020.09	Professional		$3,300.55	$3,735.19	$5,020.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,397.43 / $19,974.54 / $26,041.52	Facility		$9,397.43	$19,974.54	$26,041.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,340.85 / $4,265.43 / $5,732.79	Professional		$3,340.85	$4,265.43	$5,732.79
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 $2,625.11 / $3,646.30 / $5,627.54	Professional		$2,625.11	$3,646.30	$5,627.54