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 $2,017.54 / $2,973.72 / $5,763.01	Professional		$2,017.54	$2,973.72	$5,763.01
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 $2,756.07 / $4,277.35 / $6,924.96	Professional		$2,756.07	$4,277.35	$6,924.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,138.29 / $4,873.22 / $5,815.34	Professional		$4,138.29	$4,873.22	$5,815.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,825.03 / $4,014.52 / $5,536.90	Facility		$2,825.03	$4,014.52	$5,536.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,486.72 / $4,045.63 / $6,175.49	Professional		$3,486.72	$4,045.63	$6,175.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,198.67 / $4,385.58 / $4,718.14	Facility		$3,198.67	$4,385.58	$4,718.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,825.03 / $4,058.52 / $5,991.25	Facility		$2,825.03	$4,058.52	$5,991.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,923.69 / $4,679.21 / $6,451.37	Professional		$3,923.69	$4,679.21	$6,451.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,061.51 / $12,061.51 / $12,061.51	Facility		$12,061.51	$12,061.51	$12,061.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,295.37 / $5,496.28 / $7,387.06	Professional		$4,295.37	$5,496.28	$7,387.06
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 $3,211.68 / $4,683.72 / $7,235.41	Professional		$3,211.68	$4,683.72	$7,235.41