Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,281.73 / $7,920.26	Facility		$2,747.00	$6,281.73	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,624.33 / $3,795.76 / $10,589.00	Professional		$2,624.33	$3,795.76	$10,589.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $2,211.00 / $2,211.00	Facility		$2,211.00	$2,211.00	$2,211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,552.28 / $5,481.11 / $8,846.48	Professional		$3,552.28	$5,481.11	$8,846.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,270.72 / $6,215.69 / $7,406.69	Professional		$5,270.72	$6,215.69	$7,406.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,605.97 / $5,176.38 / $7,114.23	Facility		$3,605.97	$5,176.38	$7,114.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,479.84 / $5,239.14 / $7,889.02	Professional		$4,479.84	$5,239.14	$7,889.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,235.50 / $5,593.71 / $6,027.32	Facility		$4,235.50	$5,593.71	$6,027.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,605.97 / $5,200.18 / $7,661.97	Facility		$3,605.97	$5,200.18	$7,661.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,137.80 / $5,990.94 / $8,250.40	Professional		$5,137.80	$5,990.94	$8,250.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,616.83 / $14,616.83 / $14,616.83	Facility		$14,616.83	$14,616.83	$14,616.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,490.99 / $7,021.38 / $9,436.79	Professional		$5,490.99	$7,021.38	$9,436.79
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,213.50 / $5,940.19 / $9,410.12	Professional		$4,213.50	$5,940.19	$9,410.12