Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $961.45 / $2,764.98 / $4,380.72	Professional		$961.45	$2,764.98	$4,380.72
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 $5,381.30 / $7,946.47 / $11,290.79	Professional		$5,381.30	$7,946.47	$11,290.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8,960.37 / $11,095.33 / $12,255.13	Professional		$8,960.37	$11,095.33	$12,255.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,380.72 / $4,512.14 / $10,122.74	Facility		$4,380.72	$4,512.14	$10,122.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,048.85 / $3,222.95 / $3,222.95	Professional		$3,048.85	$3,222.95	$3,222.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,137.38 / $5,660.60 / $6,895.64	Facility		$4,137.38	$5,660.60	$6,895.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,049.77 / $4,380.72 / $10,122.74	Facility		$4,049.77	$4,380.72	$10,122.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,973.04 / $7,961.72 / $11,290.79	Professional		$4,973.04	$7,961.72	$11,290.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,721.75 / $12,751.18	Facility		$7,382.73	$9,721.75	$12,751.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,924.58 / $7,854.24 / $10,266.85	Professional		$5,924.58	$7,854.24	$10,266.85
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 $3,591.93 / $5,971.68 / $9,979.77	Professional		$3,591.93	$5,971.68	$9,979.77