Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,428.79 / $7,920.26 / $23,856.49	Facility		$4,428.79	$7,920.26	$23,856.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,717.93 / $2,729.67 / $7,123.62	Professional		$1,717.93	$2,729.67	$7,123.62
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 $2,490.46 / $4,246.46 / $6,936.76	Professional		$2,490.46	$4,246.46	$6,936.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,162.12 / $4,892.50 / $5,848.83	Professional		$4,162.12	$4,892.50	$5,848.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,940.70 / $3,954.77 / $5,902.55	Facility		$2,940.70	$3,954.77	$5,902.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,182.40 / $4,010.56 / $6,187.73	Professional		$3,182.40	$4,010.56	$6,187.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,837.59 / $4,109.75 / $4,726.18	Facility		$2,837.59	$4,109.75	$4,726.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,940.70 / $3,997.19 / $5,995.54	Facility		$2,940.70	$3,997.19	$5,995.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,516.16 / $4,675.00 / $6,421.45	Professional		$3,516.16	$4,675.00	$6,421.45
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 $4,297.83 / $5,505.65 / $7,399.65	Professional		$4,297.83	$5,505.65	$7,399.65
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 $3,072.82 / $4,502.99 / $7,239.57	Professional		$3,072.82	$4,502.99	$7,239.57