Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $6,025.60 / $7,943.28	Facility		$3,235.94	$6,025.60	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,884.03 / $6,606.93	Professional		$2,187.76	$2,884.03	$6,606.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $4,265.80 / $6,918.31	Professional		$2,454.71	$4,265.80	$6,918.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $5,011.87 / $5,888.44	Professional		$3,801.89	$5,011.87	$5,888.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,630.78 / $5,888.44	Facility		$2,344.23	$3,630.78	$5,888.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,466.84 / $6,456.54	Professional		$3,548.13	$4,466.84	$6,456.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $4,786.30 / $5,128.61	Facility		$3,548.13	$4,786.30	$5,128.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,630.78 / $5,370.32	Facility		$2,344.23	$3,630.78	$5,370.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $4,786.30 / $6,606.93	Professional		$79.43	$4,786.30	$6,606.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,589.25 / $12,589.25 / $12,589.25	Facility		$12,589.25	$12,589.25	$12,589.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $5,128.61 / $7,244.36	Professional		$4,168.69	$5,128.61	$7,244.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52
United Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,897.79 / $6,760.83	Professional		$3,311.31	$4,897.79	$6,760.83