Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,366.08 / $7,920.26 / $23,856.49	Facility		$4,366.08	$7,920.26	$23,856.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,902.00 / $3,057.62 / $6,882.97	Professional		$1,902.00	$3,057.62	$6,882.97
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 $2,644.58 / $4,224.10 / $6,491.29	Professional		$2,644.58	$4,224.10	$6,491.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,025.64 / $4,738.55 / $5,657.05	Professional		$4,025.64	$4,738.55	$5,657.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,057.62 / $4,004.07 / $5,736.65	Facility		$3,057.62	$4,004.07	$5,736.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,403.80 / $3,871.87 / $5,807.81	Professional		$3,403.80	$3,871.87	$5,807.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,082.39 / $4,204.45 / $4,422.67	Facility		$3,082.39	$4,204.45	$4,422.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,057.62 / $4,134.96 / $5,736.65	Facility		$3,057.62	$4,134.96	$5,736.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,868.19 / $4,512.06 / $6,064.21	Professional		$3,868.19	$4,512.06	$6,064.21
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 $4,036.45 / $5,152.08 / $6,924.45	Professional		$4,036.45	$5,152.08	$6,924.45
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 $3,195.50 / $4,409.80 / $6,799.27	Professional		$3,195.50	$4,409.80	$6,799.27