Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,912.83 / $7,920.26 / $23,856.49	Facility		$4,912.83	$7,920.26	$23,856.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,301.52 / $3,435.97 / $7,725.07	Professional		$2,301.52	$3,435.97	$7,725.07
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 $2,985.57 / $4,734.24 / $7,290.77	Professional		$2,985.57	$4,734.24	$7,290.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,510.81 / $5,317.09 / $6,338.83	Professional		$4,510.81	$5,317.09	$6,338.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,264.17 / $4,635.42 / $6,601.10	Facility		$3,264.17	$4,635.42	$6,601.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,985.26 / $4,468.96 / $6,521.34	Professional		$3,985.26	$4,468.96	$6,521.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,752.60 / $4,785.02 / $5,321.14	Facility		$3,752.60	$4,785.02	$5,321.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,264.17 / $4,679.76 / $6,601.10	Facility		$3,264.17	$4,679.76	$6,601.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,501.18 / $5,168.46 / $6,855.71	Professional		$4,501.18	$5,168.46	$6,855.71
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 $4,537.68 / $5,786.63 / $7,777.29	Professional		$4,537.68	$5,786.63	$7,777.29
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 $3,531.92 / $5,261.83 / $7,773.12	Professional		$3,531.92	$5,261.83	$7,773.12