Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,506.37 / $7,920.26 / $23,856.49	Facility		$3,506.37	$7,920.26	$23,856.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,610.99 / $2,453.81 / $5,652.13	Professional		$1,610.99	$2,453.81	$5,652.13
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 $2,186.56 / $3,394.53 / $5,497.09	Professional		$2,186.56	$3,394.53	$5,497.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,307.23 / $3,882.89 / $4,647.49	Professional		$3,307.23	$3,882.89	$4,647.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,412.13 / $3,233.30 / $4,361.04	Facility		$2,412.13	$3,233.30	$4,361.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,764.71 / $3,245.20 / $4,904.77	Professional		$2,764.71	$3,245.20	$4,904.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,582.39 / $3,488.02 / $3,745.30	Facility		$2,582.39	$3,488.02	$3,745.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,412.13 / $3,273.12 / $4,749.58	Facility		$2,412.13	$3,273.12	$4,749.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,159.05 / $3,726.45 / $5,114.34	Professional		$3,159.05	$3,726.45	$5,114.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,472.14 / $39,875.19 / $51,188.76	Facility		$18,472.14	$39,875.19	$51,188.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,403.57 / $4,363.00 / $5,863.91	Professional		$3,403.57	$4,363.00	$5,863.91
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,545.76 / $3,617.59 / $5,733.23	Professional		$2,545.76	$3,617.59	$5,733.23