Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,424.64 / $7,920.26	Facility		$2,747.00	$6,424.64	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,690.92 / $3,881.98 / $9,260.33	Professional		$2,690.92	$3,881.98	$9,260.33
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 $3,630.03 / $5,620.24 / $9,045.12	Professional		$3,630.03	$5,620.24	$9,045.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,392.90 / $6,357.87 / $7,578.38	Professional		$5,392.90	$6,357.87	$7,578.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,687.88 / $5,313.00 / $7,284.50	Facility		$3,687.88	$5,313.00	$7,284.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,621.80 / $5,366.40 / $8,066.30	Professional		$4,621.80	$5,366.40	$8,066.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,208.38 / $5,721.66 / $6,162.66	Facility		$4,208.38	$5,721.66	$6,162.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,687.88 / $5,326.80 / $7,832.74	Facility		$3,687.88	$5,326.80	$7,832.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,270.10 / $6,152.30 / $8,434.27	Professional		$5,270.10	$6,152.30	$8,434.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,885.61 / $15,885.61 / $15,885.61	Facility		$15,885.61	$15,885.61	$15,885.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,614.60 / $7,179.04 / $9,648.70	Professional		$5,614.60	$7,179.04	$9,648.70
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 $4,323.18 / $6,152.30 / $9,457.62	Professional		$4,323.18	$6,152.30	$9,457.62