Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $7,244.36 / $13,803.84	Facility		$5,623.41	$7,244.36	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,090.30 / $7,762.47	Professional		$2,570.40	$3,090.30	$7,762.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $5,011.87 / $7,762.47	Professional		$2,884.03	$5,011.87	$7,762.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $5,370.32 / $6,760.83	Professional		$4,073.80	$5,370.32	$6,760.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $4,365.16 / $7,079.46	Facility		$2,818.38	$4,365.16	$7,079.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $5,128.61 / $7,244.36	Professional		$4,365.16	$5,128.61	$7,244.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $5,495.41 / $5,754.40	Facility		$4,677.35	$5,495.41	$5,754.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $4,365.16 / $6,165.95	Facility		$2,818.38	$4,365.16	$6,165.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $5,370.32 / $7,585.78	Professional		$79.43	$5,370.32	$7,585.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $16,595.87 / $26,915.35	Facility		$6,918.31	$16,595.87	$26,915.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,888.44 / $8,511.38	Professional		$5,011.87	$5,888.44	$8,511.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,782.79 / $31,622.78	Facility		$2,884.03	$17,782.79	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $5,623.41 / $7,762.47	Professional		$3,715.35	$5,623.41	$7,762.47