Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,967.54 / $7,920.26	Facility		$2,747.00	$3,967.54	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,460.36 / $2,261.73 / $5,095.57	Professional		$1,460.36	$2,261.73	$5,095.57
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 $1,939.24 / $3,088.25 / $4,800.85	Professional		$1,939.24	$3,088.25	$4,800.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,985.66 / $3,508.07 / $4,195.60	Professional		$2,985.66	$3,508.07	$4,195.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,204.94 / $2,921.44 / $3,903.20	Facility		$2,204.94	$2,921.44	$3,903.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,548.75 / $2,864.02 / $4,296.02	Professional		$2,548.75	$2,864.02	$4,296.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,248.08 / $3,080.47 / $3,270.94	Facility		$2,248.08	$3,080.47	$3,270.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,204.94 / $2,934.72 / $4,165.22	Facility		$2,204.94	$2,934.72	$4,165.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,817.35 / $3,289.30 / $4,485.10	Professional		$2,817.35	$3,289.30	$4,485.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23,802.20 / $51,381.00 / $65,959.06	Facility		$23,802.20	$51,381.00	$65,959.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,984.74 / $3,810.40 / $5,121.22	Professional		$2,984.74	$3,810.40	$5,121.22
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $51,981.00	Facility		$3,340.00	$26,100.00	$51,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,282.55 / $3,252.20 / $5,027.72	Professional		$2,282.55	$3,252.20	$5,027.72