Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $8,128.31 / $13,803.84	Facility		$6,606.93	$8,128.31	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,548.13 / $8,912.51	Professional		$2,884.03	$3,548.13	$8,912.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $5,754.40 / $9,120.11	Professional		$3,311.31	$5,754.40	$9,120.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $6,309.57 / $7,762.47	Professional		$4,786.30	$6,309.57	$7,762.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $5,128.61 / $7,943.28	Facility		$3,235.94	$5,128.61	$7,943.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $5,623.41 / $8,511.38	Professional		$4,897.79	$5,623.41	$8,511.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,309.57 / $6,606.93	Facility		$5,011.87	$6,309.57	$6,606.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $5,128.61 / $6,918.31	Facility		$3,235.94	$5,128.61	$6,918.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $6,165.95 / $8,709.64	Professional		$79.43	$6,165.95	$8,709.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $16,595.87 / $26,915.35	Facility		$6,918.31	$16,595.87	$26,915.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $6,760.83 / $9,772.37	Professional		$5,370.32	$6,760.83	$9,772.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,782.79 / $31,622.78	Facility		$2,884.03	$17,782.79	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $6,309.57 / $8,912.51	Professional		$4,168.69	$6,309.57	$8,912.51