Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,116.62 / $7,920.26	Facility		$2,747.00	$5,116.62	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,922.95 / $2,839.51 / $8,817.00	Professional		$1,922.95	$2,839.51	$8,817.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,635.56 / $4,079.92 / $6,610.28	Professional		$2,635.56	$4,079.92	$6,610.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,814.26 / $4,493.47 / $5,360.01	Professional		$3,814.26	$4,493.47	$5,360.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,595.78 / $3,742.32 / $5,291.25	Facility		$2,595.78	$3,742.32	$5,291.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,237.48 / $3,768.82 / $5,735.07	Professional		$3,237.48	$3,768.82	$5,735.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,939.46 / $4,043.82 / $4,503.74	Facility		$2,939.46	$4,043.82	$4,503.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,595.78 / $3,754.80 / $5,717.52	Facility		$2,595.78	$3,754.80	$5,717.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,785.50 / $4,459.70 / $6,156.61	Professional		$3,785.50	$4,459.70	$6,156.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,514.94 / $11,514.94 / $11,514.94	Facility		$11,514.94	$11,514.94	$11,514.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,097.95 / $5,246.52 / $7,051.38	Professional		$4,097.95	$5,246.52	$7,051.38
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 $3,058.08 / $4,396.00 / $6,870.49	Professional		$3,058.08	$4,396.00	$6,870.49