Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,759.74 / $7,920.26 / $23,856.49	Facility		$3,759.74	$7,920.26	$23,856.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,728.48 / $2,631.68 / $6,061.40	Professional		$1,728.48	$2,631.68	$6,061.40
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 $2,343.31 / $3,640.45 / $5,893.39	Professional		$2,343.31	$3,640.45	$5,893.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,549.01 / $4,165.81 / $4,987.26	Professional		$3,549.01	$4,165.81	$4,987.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,585.78 / $3,468.90 / $4,727.70	Facility		$2,585.78	$3,468.90	$4,727.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,971.26 / $3,493.92 / $5,261.09	Professional		$2,971.26	$3,493.92	$5,261.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,756.32 / $3,747.31 / $4,015.31	Facility		$2,756.32	$3,747.31	$4,015.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,585.78 / $3,468.90 / $5,091.10	Facility		$2,585.78	$3,468.90	$5,091.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,376.13 / $4,003.47 / $5,482.09	Professional		$3,376.13	$4,003.47	$5,482.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,843.42 / $46,841.13 / $63,939.04	Facility		$15,843.42	$46,841.13	$63,939.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,648.36 / $4,677.54 / $6,286.66	Professional		$3,648.36	$4,677.54	$6,286.66
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $51,981.00	Facility		$3,340.00	$26,100.00	$51,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,675.67 / $3,954.30 / $6,091.88	Professional		$2,675.67	$3,954.30	$6,091.88