Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,116.62 / $7,920.26 / $27,529.46	Facility		$5,116.62	$7,920.26	$27,529.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,501.17 / $3,705.84 / $8,542.58	Professional		$2,501.17	$3,705.84	$8,542.58
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 $2,722.48 / $5,333.79 / $7,657.02	Professional		$2,722.48	$5,333.79	$7,657.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,307.60 / $5,656.27 / $6,901.88	Professional		$4,307.60	$5,656.27	$6,901.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,947.44 / $4,952.13 / $7,815.77	Facility		$2,947.44	$4,952.13	$7,815.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,317.14 / $4,929.00 / $8,014.80	Professional		$4,317.14	$4,929.00	$8,014.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,402.93 / $5,247.44 / $5,466.53	Facility		$3,402.93	$5,247.44	$5,466.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,117.97 / $5,573.44 / $7,815.77	Facility		$3,117.97	$5,573.44	$7,815.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,597.78 / $5,894.88 / $7,688.73	Professional		$4,597.78	$5,894.88	$7,688.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,361.28 / $14,361.28 / $14,361.28	Facility		$14,361.28	$14,361.28	$14,361.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,966.35 / $6,342.11 / $7,687.34	Professional		$4,966.35	$6,342.11	$7,687.34
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 $3,770.88 / $5,656.32 / $8,590.98	Professional		$3,770.88	$5,656.32	$8,590.98