Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,955.83 / $7,920.26 / $23,856.49	Facility		$3,955.83	$7,920.26	$23,856.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,697.07 / $2,711.53 / $5,340.88	Professional		$1,697.07	$2,711.53	$5,340.88
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 $2,230.61 / $3,803.39 / $6,193.32	Professional		$2,230.61	$3,803.39	$6,193.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,712.17 / $4,365.93 / $5,216.54	Professional		$3,712.17	$4,365.93	$5,216.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,763.43 / $3,785.90 / $5,373.11	Facility		$2,763.43	$3,785.90	$5,373.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,033.24 / $3,658.00 / $5,524.85	Professional		$3,033.24	$3,658.00	$5,524.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,734.69 / $3,805.60 / $4,219.66	Facility		$2,734.69	$3,805.60	$4,219.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,763.43 / $3,851.44 / $5,354.54	Facility		$2,763.43	$3,851.44	$5,354.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,254.58 / $4,179.80 / $5,765.76	Professional		$3,254.58	$4,179.80	$5,765.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,963.77 / $36,351.94 / $49,621.09	Facility		$7,963.77	$36,351.94	$49,621.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,837.79 / $4,915.59 / $6,606.60	Professional		$3,837.79	$4,915.59	$6,606.60
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,748.05 / $4,122.06 / $6,442.36	Professional		$2,748.05	$4,122.06	$6,442.36