Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,821.57 / $7,920.26	Facility		$2,747.00	$5,821.57	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,431.31 / $3,518.46 / $7,062.85	Professional		$2,431.31	$3,518.46	$7,062.85
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 $3,287.59 / $5,070.93 / $8,196.46	Professional		$3,287.59	$5,070.93	$8,196.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,892.29 / $5,764.43 / $6,874.90	Professional		$4,892.29	$5,764.43	$6,874.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,465.22 / $4,800.66 / $6,608.75	Facility		$3,465.22	$4,800.66	$6,608.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,168.20 / $4,854.02 / $7,309.12	Professional		$4,168.20	$4,854.02	$7,309.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,925.42 / $5,187.60 / $5,584.45	Facility		$3,925.42	$5,187.60	$5,584.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,465.22 / $4,820.29 / $7,093.91	Facility		$3,465.22	$4,820.29	$7,093.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,752.66 / $5,560.81 / $7,638.71	Professional		$4,752.66	$5,560.81	$7,638.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,414.51 / $14,414.51 / $14,414.51	Facility		$14,414.51	$14,414.51	$14,414.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,084.46 / $6,505.47 / $8,743.41	Professional		$5,084.46	$6,505.47	$8,743.41
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $25,540.00 / $51,981.00	Facility		$3,340.00	$25,540.00	$51,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,970.50 / $5,598.41 / $8,563.59	Professional		$3,970.50	$5,598.41	$8,563.59