Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $9,332.54 / $13,803.84	Facility		$7,585.78	$9,332.54	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $4,073.80 / $10,232.93	Professional		$3,019.95	$4,073.80	$10,232.93
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 $3,801.89 / $6,606.93 / $10,471.29	Professional		$3,801.89	$6,606.93	$10,471.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $7,244.36 / $8,912.51	Professional		$5,495.41	$7,244.36	$8,912.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $5,888.44 / $8,709.64	Facility		$3,715.35	$5,888.44	$8,709.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $6,606.93 / $9,120.11	Professional		$5,495.41	$6,606.93	$9,120.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $6,456.54 / $7,585.78	Facility		$5,128.61	$6,456.54	$7,585.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $5,888.44 / $7,943.28	Facility		$3,715.35	$5,888.44	$7,943.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $7,079.46 / $10,000.00	Professional		$79.43	$7,079.46	$10,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $16,982.44 / $26,915.35	Facility		$6,918.31	$16,982.44	$26,915.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $7,762.47 / $10,715.19	Professional		$5,754.40	$7,762.47	$10,715.19
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 $4,677.35 / $6,918.31 / $10,232.93	Professional		$4,677.35	$6,918.31	$10,232.93