Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,323.72 / $7,920.26 / $23,856.49	Facility		$4,323.72	$7,920.26	$23,856.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,846.53 / $2,887.63 / $6,954.82	Professional		$1,846.53	$2,887.63	$6,954.82
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 $2,452.25 / $4,083.29 / $6,247.48	Professional		$2,452.25	$4,083.29	$6,247.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,066.12 / $4,778.66 / $5,713.93	Professional		$4,066.12	$4,778.66	$5,713.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,887.63 / $3,968.64 / $5,619.32	Facility		$2,887.63	$3,968.64	$5,619.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,357.08 / $3,840.90 / $6,042.74	Professional		$3,357.08	$3,840.90	$6,042.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,860.00 / $3,955.01 / $4,612.95	Facility		$2,860.00	$3,955.01	$4,612.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,871.57 / $4,080.65 / $5,853.10	Facility		$2,871.57	$4,080.65	$5,853.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,616.47 / $4,553.02 / $6,247.48	Professional		$3,616.47	$4,553.02	$6,247.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,472.14 / $39,875.19 / $51,188.76	Facility		$18,472.14	$39,875.19	$51,188.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,887.71 / $5,373.74 / $7,222.37	Professional		$3,887.71	$5,373.74	$7,222.37
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 $3,010.53 / $4,367.06 / $6,956.68	Professional		$3,010.53	$4,367.06	$6,956.68