Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,116.62 / $7,614.95 / $8,487.14	Facility		$5,116.62	$7,614.95	$8,487.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,052.85 / $4,773.95 / $12,343.10	Professional		$3,052.85	$4,773.95	$12,343.10
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 $3,518.82 / $6,617.73 / $9,794.91	Professional		$3,518.82	$6,617.73	$9,794.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,536.80 / $7,270.32 / $8,894.87	Professional		$5,536.80	$7,270.32	$8,894.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,680.34 / $6,241.48 / $9,174.54	Facility		$3,680.34	$6,241.48	$9,174.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,078.58 / $6,137.40 / $10,398.90	Professional		$5,078.58	$6,137.40	$10,398.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,656.67 / $6,559.77 / $7,092.62	Facility		$4,656.67	$6,559.77	$7,092.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,713.85 / $6,865.56 / $9,174.54	Facility		$3,713.85	$6,865.56	$9,174.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,748.05 / $7,626.44 / $10,019.65	Professional		$5,748.05	$7,626.44	$10,019.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,151.68 / $18,151.68 / $18,151.68	Facility		$18,151.68	$18,151.68	$18,151.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6,482.42 / $8,262.37 / $9,986.65	Professional		$6,482.42	$8,262.37	$9,986.65
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 $5,198.93 / $7,339.67 / $11,213.49	Professional		$5,198.93	$7,339.67	$11,213.49