Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,919.56 / $7,920.26	Facility		$2,747.00	$5,919.56	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,465.28 / $3,577.57 / $7,181.73	Professional		$2,465.28	$3,577.57	$7,181.73
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 $3,342.73 / $5,156.88 / $8,334.14	Professional		$3,342.73	$5,156.88	$8,334.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,973.56 / $5,860.78 / $6,989.11	Professional		$4,973.56	$5,860.78	$6,989.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,398.69 / $4,880.64 / $6,694.65	Facility		$3,398.69	$4,880.64	$6,694.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,217.70 / $4,935.80 / $7,432.26	Professional		$4,217.70	$4,935.80	$7,432.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,971.93 / $5,274.31 / $5,678.25	Facility		$3,971.93	$5,274.31	$5,678.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,398.69 / $4,901.27 / $7,214.90	Facility		$3,398.69	$4,901.27	$7,214.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,834.50 / $5,653.19 / $7,768.99	Professional		$4,834.50	$5,653.19	$7,768.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,389.68 / $14,389.68 / $14,389.68	Facility		$14,389.68	$14,389.68	$14,389.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,170.56 / $6,614.74 / $8,890.28	Professional		$5,170.56	$6,614.74	$8,890.28
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $51,981.00	Facility		$3,340.00	$26,100.00	$51,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,958.22 / $5,503.86 / $8,711.33	Professional		$3,958.22	$5,503.86	$8,711.33