Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,074.22 / $7,920.26	Facility		$2,747.00	$6,074.22	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,180.92 / $3,355.48 / $8,700.62	Professional		$2,180.92	$3,355.48	$8,700.62
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 $3,011.49 / $5,189.89 / $7,698.60	Professional		$3,011.49	$5,189.89	$7,698.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,088.22 / $5,986.24 / $7,150.24	Professional		$5,088.22	$5,986.24	$7,150.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,355.48 / $4,693.68 / $6,477.32	Facility		$3,355.48	$4,693.68	$6,477.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,970.80 / $4,754.37 / $7,335.31	Professional		$3,970.80	$4,754.37	$7,335.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,405.99 / $5,069.30 / $5,589.14	Facility		$3,405.99	$5,069.30	$5,589.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,295.10 / $4,985.42 / $7,120.51	Facility		$3,295.10	$4,985.42	$7,120.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,372.42 / $5,601.84 / $7,667.35	Professional		$4,372.42	$5,601.84	$7,667.35
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 $4,788.71 / $6,510.93 / $8,750.76	Professional		$4,788.71	$6,510.93	$8,750.76
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $51,981.00	Facility		$3,340.00	$26,100.00	$51,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,785.08 / $5,605.44 / $8,696.24	Professional		$3,785.08	$5,605.44	$8,696.24