Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,053.68 / $14,614.14 / $64,068.70	Facility		$4,053.68	$14,614.14	$64,068.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,733.30 / $2,831.68 / $6,278.80	Professional		$1,733.30	$2,831.68	$6,278.80
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 $2,361.27 / $3,851.51 / $5,890.27	Professional		$2,361.27	$3,851.51	$5,890.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,670.69 / $4,322.76 / $5,158.25	Professional		$3,670.69	$4,322.76	$5,158.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,831.68 / $3,663.21 / $4,901.10	Facility		$2,831.68	$3,663.21	$4,901.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,130.26 / $3,533.02 / $5,299.53	Professional		$3,130.26	$3,533.02	$5,299.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,885.20 / $3,858.60 / $4,035.41	Facility		$2,885.20	$3,858.60	$4,035.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,831.68 / $3,785.04 / $5,140.02	Facility		$2,831.68	$3,785.04	$5,140.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,582.48 / $4,159.32 / $5,646.80	Professional		$3,582.48	$4,159.32	$5,646.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23,802.20 / $51,381.00 / $65,959.06	Facility		$23,802.20	$51,381.00	$65,959.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,683.42 / $4,700.95 / $6,318.13	Professional		$3,683.42	$4,700.95	$6,318.13
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 $2,855.99 / $4,105.50 / $6,312.39	Professional		$2,855.99	$4,105.50	$6,312.39