Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,116.62 / $8,357.93 / $10,247.60	Facility		$5,116.62	$8,357.93	$10,247.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,676.92 / $5,739.64 / $14,969.90	Professional		$3,676.92	$5,739.64	$14,969.90
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 $4,232.00 / $8,009.79 / $11,789.74	Professional		$4,232.00	$8,009.79	$11,789.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,686.77 / $8,780.33 / $10,739.36	Professional		$6,686.77	$8,780.33	$10,739.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,625.00 / $7,440.95 / $10,704.56	Facility		$4,625.00	$7,440.95	$10,704.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6,175.20 / $7,395.42 / $12,558.06	Professional		$6,175.20	$7,395.42	$12,558.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,688.03 / $7,927.61 / $8,565.28	Facility		$5,688.03	$7,927.61	$8,565.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,801.03 / $8,083.92 / $10,902.16	Facility		$4,801.03	$8,083.92	$10,902.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $6,918.45 / $9,158.17 / $12,060.25	Professional		$6,918.45	$9,158.17	$12,060.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21,995.32 / $21,995.32 / $21,995.32	Facility		$21,995.32	$21,995.32	$21,995.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7,815.18 / $9,977.91 / $12,039.88	Professional		$7,815.18	$9,977.91	$12,039.88
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 $6,011.12 / $8,593.95 / $13,393.19	Professional		$6,011.12	$8,593.95	$13,393.19