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 $1,903.28 / $2,534.46 / $5,446.53	Professional		$1,903.28	$2,534.46	$5,446.53
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 $2,608.26 / $4,029.42 / $6,531.61	Professional		$2,608.26	$4,029.42	$6,531.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,912.07 / $4,602.38 / $5,497.45	Professional		$3,912.07	$4,602.38	$5,497.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,630.80 / $3,787.11 / $5,214.75	Facility		$2,630.80	$3,787.11	$5,214.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,295.62 / $3,862.53 / $5,826.17	Professional		$3,295.62	$3,862.53	$5,826.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,058.65 / $4,141.83 / $4,450.14	Facility		$3,058.65	$4,141.83	$4,450.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,630.80 / $3,832.84 / $5,648.87	Facility		$2,630.80	$3,832.84	$5,648.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,746.64 / $4,446.64 / $6,082.69	Professional		$3,746.64	$4,446.64	$6,082.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,335.72 / $11,335.72 / $11,335.72	Facility		$11,335.72	$11,335.72	$11,335.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,048.13 / $5,184.08 / $6,967.46	Professional		$4,048.13	$5,184.08	$6,967.46
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 $3,021.11 / $4,405.81 / $6,787.45	Professional		$3,021.11	$4,405.81	$6,787.45