Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,116.62 / $8,652.20 / $10,444.70	Facility		$5,116.62	$8,652.20	$10,444.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,868.57 / $5,859.05 / $15,971.80	Professional		$3,868.57	$5,859.05	$15,971.80
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 $4,415.30 / $8,392.06 / $12,161.01	Professional		$4,415.30	$8,392.06	$12,161.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,785.00 / $8,909.32 / $10,800.81	Professional		$6,785.00	$8,909.32	$10,800.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,920.38 / $7,648.32 / $12,186.45	Facility		$3,920.38	$7,648.32	$12,186.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6,832.20 / $7,986.22 / $12,843.90	Professional		$6,832.20	$7,986.22	$12,843.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,172.42 / $8,265.37 / $8,965.27	Facility		$6,172.42	$8,265.37	$8,965.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,990.38 / $8,835.73 / $12,186.45	Facility		$3,990.38	$8,835.73	$12,186.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $7,284.73 / $9,544.75 / $12,400.35	Professional		$7,284.73	$9,544.75	$12,400.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23,684.69 / $23,684.69 / $23,684.69	Facility		$23,684.69	$23,684.69	$23,684.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8,020.60 / $10,205.04 / $12,425.76	Professional		$8,020.60	$10,205.04	$12,425.76
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 $6,608.07 / $9,361.43 / $13,745.22	Professional		$6,608.07	$9,361.43	$13,745.22