Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,566.32 / $4,283.87 / $5,257.23	Facility		$3,566.32	$4,283.87	$5,257.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,760.37 / $2,478.48 / $6,320.51	Professional		$1,760.37	$2,478.48	$6,320.51
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 $2,651.83 / $4,150.31 / $5,856.08	Professional		$2,651.83	$4,150.31	$5,856.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,423.07 / $4,422.35 / $5,177.29	Professional		$3,423.07	$4,422.35	$5,177.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,478.48 / $3,860.69 / $5,739.65	Facility		$2,478.48	$3,860.69	$5,739.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,061.19 / $3,772.31 / $5,417.46	Professional		$3,061.19	$3,772.31	$5,417.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,891.10 / $4,128.51 / $4,852.81	Facility		$2,891.10	$4,128.51	$4,852.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,478.48 / $3,893.63 / $5,739.65	Facility		$2,478.48	$3,893.63	$5,739.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,268.00 / $4,218.72 / $5,670.00	Professional		$3,268.00	$4,218.72	$5,670.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,671.70 / $18,246.18 / $21,922.68	Facility		$13,671.70	$18,246.18	$21,922.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,296.64 / $4,319.88 / $5,963.57	Professional		$3,296.64	$4,319.88	$5,963.57
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,137.47 / $4,584.55 / $6,618.14	Professional		$3,137.47	$4,584.55	$6,618.14