Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,341.78 / $7,920.26	Facility		$2,747.00	$5,341.78	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,015.44 / $3,143.92 / $7,613.79	Professional		$2,015.44	$3,143.92	$7,613.79
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 $2,803.15 / $4,657.96 / $7,133.43	Professional		$2,803.15	$4,657.96	$7,133.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,478.29 / $5,245.53 / $6,293.13	Professional		$4,478.29	$5,245.53	$6,293.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,937.02 / $4,142.16 / $5,324.86	Facility		$2,937.02	$4,142.16	$5,324.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,425.48 / $4,136.22 / $6,381.61	Professional		$3,425.48	$4,136.22	$6,381.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,954.06 / $4,184.82 / $4,860.18	Facility		$2,954.06	$4,184.82	$4,860.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,937.02 / $4,351.00 / $6,224.66	Facility		$2,937.02	$4,351.00	$6,224.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,015.44 / $4,950.85 / $6,702.70	Professional		$4,015.44	$4,950.85	$6,702.70
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 $4,461.43 / $5,661.75 / $7,609.45	Professional		$4,461.43	$5,661.75	$7,609.45
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 $3,271.53 / $4,765.03 / $7,645.73	Professional		$3,271.53	$4,765.03	$7,645.73