Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $5,248.07 / $15,848.93	Facility		$4,168.69	$5,248.07	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,344.23 / $5,754.40	Professional		$1,905.46	$2,344.23	$5,754.40
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 $2,137.96 / $3,715.35 / $5,754.40	Professional		$2,137.96	$3,715.35	$5,754.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,981.07 / $4,897.79	Professional		$2,951.21	$3,981.07	$4,897.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,235.94 / $5,248.07	Facility		$2,041.74	$3,235.94	$5,248.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,801.89 / $5,370.32	Professional		$3,162.28	$3,801.89	$5,370.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $4,073.80 / $4,168.69	Facility		$3,019.95	$4,073.80	$4,168.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,235.94 / $4,897.79	Facility		$2,041.74	$3,235.94	$4,897.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $3,981.07 / $5,495.41	Professional		$79.43	$3,981.07	$5,495.41
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 $3,715.35 / $4,265.80 / $6,165.95	Professional		$3,715.35	$4,265.80	$6,165.95
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $31,622.78	Facility		$3,019.95	$20,892.96	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $4,073.80 / $5,623.41	Professional		$2,691.53	$4,073.80	$5,623.41