Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,389.89 / $8,369.76 / $30,593.00	Facility		$4,389.89	$8,369.76	$30,593.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,924.52 / $3,024.37 / $7,881.23	Professional		$1,924.52	$3,024.37	$7,881.23
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 $2,193.02 / $4,172.06 / $6,161.87	Professional		$2,193.02	$4,172.06	$6,161.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,465.07 / $4,549.95 / $5,570.80	Professional		$3,465.07	$4,549.95	$5,570.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,482.66 / $3,964.55 / $5,566.56	Facility		$2,482.66	$3,964.55	$5,566.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,247.80 / $3,832.84 / $6,514.80	Professional		$3,247.80	$3,832.84	$6,514.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,963.69 / $4,035.12 / $4,443.43	Facility		$2,963.69	$4,035.12	$4,443.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,482.66 / $4,284.50 / $5,676.33	Facility		$2,482.66	$4,284.50	$5,676.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,597.90 / $4,774.93 / $6,303.25	Professional		$3,597.90	$4,774.93	$6,303.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,970.15 / $10,970.15 / $10,970.15	Facility		$10,970.15	$10,970.15	$10,970.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,068.42 / $5,176.28 / $6,267.71	Professional		$4,068.42	$5,176.28	$6,267.71
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 $2,990.46 / $4,389.21 / $6,904.25	Professional		$2,990.46	$4,389.21	$6,904.25