Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $4,897.79 / $13,803.84	Facility		$3,890.45	$4,897.79	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,238.72 / $5,248.07	Professional		$1,819.70	$2,238.72	$5,248.07
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 $2,137.96 / $3,467.37 / $5,370.32	Professional		$2,137.96	$3,467.37	$5,370.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,548.13 / $4,570.88	Professional		$2,691.53	$3,548.13	$4,570.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,162.28 / $5,128.61	Facility		$1,949.84	$3,162.28	$5,128.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,548.13 / $5,011.87	Professional		$2,884.03	$3,548.13	$5,011.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,715.35 / $3,890.45	Facility		$3,090.30	$3,715.35	$3,890.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,162.28 / $4,570.88	Facility		$1,949.84	$3,162.28	$4,570.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $3,715.35 / $5,248.07	Professional		$79.43	$3,715.35	$5,248.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $13,489.63 / $21,877.62	Facility		$5,623.41	$13,489.63	$21,877.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,073.80 / $5,623.41	Professional		$3,467.37	$4,073.80	$5,623.41
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 $2,570.40 / $3,890.45 / $5,248.07	Professional		$2,570.40	$3,890.45	$5,248.07