Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,428.91 / $7,920.26 / $23,856.49	Facility		$4,428.91	$7,920.26	$23,856.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,789.09 / $2,895.95 / $7,108.16	Professional		$1,789.09	$2,895.95	$7,108.16
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 $2,498.85 / $4,260.76 / $6,931.84	Professional		$2,498.85	$4,260.76	$6,931.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,148.28 / $4,882.88 / $5,829.39	Professional		$4,148.28	$4,882.88	$5,829.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,091.29 / $4,066.58 / $5,458.26	Facility		$3,091.29	$4,066.58	$5,458.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,306.58 / $4,025.66 / $6,185.11	Professional		$3,306.58	$4,025.66	$6,185.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,764.96 / $4,014.04 / $4,722.83	Facility		$2,764.96	$4,014.04	$4,722.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,091.29 / $4,104.75 / $5,994.69	Facility		$3,091.29	$4,104.75	$5,994.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,569.84 / $4,677.04 / $6,428.04	Professional		$3,569.84	$4,677.04	$6,428.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21,229.02 / $48,286.72 / $65,959.06	Facility		$21,229.02	$48,286.72	$65,959.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,297.83 / $5,501.74 / $7,394.40	Professional		$4,297.83	$5,501.74	$7,394.40
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $49,245.00	Facility		$3,340.00	$26,100.00	$49,245.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,081.55 / $4,488.32 / $7,224.20	Professional		$3,081.55	$4,488.32	$7,224.20