Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,116.62 / $7,920.26	Facility		$2,747.00	$5,116.62	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,761.72 / $2,670.49 / $7,047.83	Professional		$1,761.72	$2,670.49	$7,047.83
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 $2,489.46 / $4,314.47 / $6,600.44	Professional		$2,489.46	$4,314.47	$6,600.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,147.51 / $4,858.07 / $5,828.30	Professional		$4,147.51	$4,858.07	$5,828.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,416.16 / $3,831.49 / $4,928.20	Facility		$2,416.16	$3,831.49	$4,928.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,076.80 / $3,825.47 / $5,902.15	Professional		$3,076.80	$3,825.47	$5,902.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,721.44 / $3,763.39 / $4,497.04	Facility		$2,721.44	$3,763.39	$4,497.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,416.16 / $3,832.61 / $5,757.85	Facility		$2,416.16	$3,832.61	$5,757.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,539.34 / $4,541.04 / $6,200.04	Professional		$3,539.34	$4,541.04	$6,200.04
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 $4,127.47 / $5,238.72 / $7,040.89	Professional		$4,127.47	$5,238.72	$7,040.89
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 $3,024.92 / $4,340.81 / $7,139.82	Professional		$3,024.92	$4,340.81	$7,139.82