Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,116.62 / $6,097.46 / $7,920.26	Facility		$5,116.62	$6,097.46	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,607.06 / $3,875.14 / $10,554.70	Professional		$2,607.06	$3,875.14	$10,554.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $1,664.70	Facility		$1,664.70	$1,664.70	$1,664.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,665.00 / $5,328.91 / $7,705.12	Professional		$2,665.00	$5,328.91	$7,705.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,361.85 / $5,727.50 / $7,099.45	Professional		$4,361.85	$5,727.50	$7,099.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,897.49 / $4,916.97 / $7,770.41	Facility		$2,897.49	$4,916.97	$7,770.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,176.00 / $4,894.28 / $8,049.18	Professional		$4,176.00	$4,894.28	$8,049.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,691.80 / $5,288.98 / $5,489.98	Facility		$3,691.80	$5,288.98	$5,489.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,944.73 / $5,595.20 / $7,770.41	Facility		$2,944.73	$5,595.20	$7,770.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,671.24 / $5,926.62 / $7,686.39	Professional		$4,671.24	$5,926.62	$7,686.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,560.03 / $14,560.03 / $14,560.03	Facility		$14,560.03	$14,560.03	$14,560.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,055.55 / $6,395.42 / $7,788.45	Professional		$5,055.55	$6,395.42	$7,788.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,345.00 / $7,664.00 / $31,303.00	Facility		$1,345.00	$7,664.00	$31,303.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,868.05 / $5,656.05 / $8,515.92	Professional		$3,868.05	$5,656.05	$8,515.92