Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,565.10 / $7,920.26	Facility		$2,747.00	$3,565.10	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,352.59 / $1,834.69 / $3,717.91	Professional		$1,352.59	$1,834.69	$3,717.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,777.92 / $2,809.33 / $4,318.02	Professional		$1,777.92	$2,809.33	$4,318.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,677.94 / $3,152.88 / $3,763.18	Professional		$2,677.94	$3,152.88	$3,763.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,967.62 / $2,668.92 / $3,622.70	Facility		$1,967.62	$2,668.92	$3,622.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,301.60 / $2,576.39 / $3,949.90	Professional		$2,301.60	$2,576.39	$3,949.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,102.73 / $2,837.38 / $2,957.38	Facility		$2,102.73	$2,837.38	$2,957.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,967.62 / $2,695.64 / $3,938.68	Facility		$1,967.62	$2,695.64	$3,938.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,622.18 / $3,049.20 / $4,163.25	Professional		$2,622.18	$3,049.20	$4,163.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,924.49 / $7,963.77 / $18,894.75	Facility		$3,924.49	$7,963.77	$18,894.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,822.37 / $3,502.78 / $4,606.16	Professional		$2,822.37	$3,502.78	$4,606.16
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $8,571.00 / $36,803.00	Facility		$2,364.00	$8,571.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,137.38 / $3,004.25 / $4,703.99	Professional		$2,137.38	$3,004.25	$4,703.99