Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $6,309.57 / $13,803.84	Facility		$4,897.79	$6,309.57	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,754.23 / $6,760.83	Professional		$2,187.76	$2,754.23	$6,760.83
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 $2,454.71 / $4,365.16 / $6,918.31	Professional		$2,454.71	$4,365.16	$6,918.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,570.88 / $5,888.44	Professional		$3,467.37	$4,570.88	$5,888.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,801.89 / $6,165.95	Facility		$2,454.71	$3,801.89	$6,165.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,365.16 / $6,309.57	Professional		$3,548.13	$4,365.16	$6,309.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $4,786.30 / $5,011.87	Facility		$3,801.89	$4,786.30	$5,011.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,801.89 / $5,370.32	Facility		$2,454.71	$3,801.89	$5,370.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $4,677.35 / $6,606.93	Professional		$79.43	$4,677.35	$6,606.93
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 $4,073.80 / $5,011.87 / $7,413.10	Professional		$4,073.80	$5,011.87	$7,413.10
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 $3,235.94 / $4,786.30 / $6,760.83	Professional		$3,235.94	$4,786.30	$6,760.83