Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,971.68 / $7,920.26	Facility		$2,747.00	$4,971.68	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,838.73 / $2,674.08 / $6,385.20	Professional		$1,838.73	$2,674.08	$6,385.20
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 $2,491.34 / $3,841.79 / $6,224.79	Professional		$2,491.34	$3,841.79	$6,224.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,725.99 / $4,384.51 / $5,235.96	Professional		$3,725.99	$4,384.51	$5,235.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,557.82 / $3,651.18 / $4,993.75	Facility		$2,557.82	$3,651.18	$4,993.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,141.09 / $3,701.29 / $5,551.93	Professional		$3,141.09	$3,701.29	$5,551.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,954.00 / $3,945.77 / $4,241.10	Facility		$2,954.00	$3,945.77	$4,241.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,557.82 / $3,663.49 / $5,385.44	Facility		$2,557.82	$3,663.49	$5,385.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,599.26 / $4,235.14 / $5,799.02	Professional		$3,599.26	$4,235.14	$5,799.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,869.00 / $10,869.00 / $10,869.00	Facility		$10,869.00	$10,869.00	$10,869.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,860.54 / $4,940.56 / $6,640.17	Professional		$3,860.54	$4,940.56	$6,640.17
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 $2,940.49 / $4,200.71 / $6,945.49	Professional		$2,940.49	$4,200.71	$6,945.49