Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $4,570.88 / $13,803.84	Facility		$3,630.78	$4,570.88	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,089.30 / $4,897.79	Professional		$1,698.24	$2,089.30	$4,897.79
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 $1,995.26 / $3,235.94 / $5,011.87	Professional		$1,995.26	$3,235.94	$5,011.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,311.31 / $4,265.80	Professional		$2,511.89	$3,311.31	$4,265.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,884.03 / $5,011.87	Facility		$1,778.28	$2,884.03	$5,011.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,311.31 / $4,677.35	Professional		$2,691.53	$3,311.31	$4,677.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,548.13 / $3,890.45	Facility		$2,884.03	$3,548.13	$3,890.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,884.03 / $4,466.84	Facility		$1,819.70	$2,884.03	$4,466.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $3,467.37 / $4,897.79	Professional		$79.43	$3,467.37	$4,897.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $8,128.31 / $20,892.96	Facility		$5,623.41	$8,128.31	$20,892.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,715.35 / $5,370.32	Professional		$3,235.94	$3,715.35	$5,370.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,782.79 / $25,703.96	Facility		$2,884.03	$17,782.79	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,630.78 / $4,897.79	Professional		$2,398.83	$3,630.78	$4,897.79