Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,314.63 / $7,920.26	Facility		$2,747.00	$5,314.63	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,173.30 / $3,212.14 / $7,667.46	Professional		$2,173.30	$3,212.14	$7,667.46
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 $2,990.48 / $4,621.55 / $7,480.57	Professional		$2,990.48	$4,621.55	$7,480.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,470.53 / $5,264.43 / $6,282.23	Professional		$4,470.53	$5,264.43	$6,282.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,997.26 / $4,336.39 / $5,949.45	Facility		$2,997.26	$4,336.39	$5,949.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,486.25 / $4,414.57 / $6,670.70	Professional		$3,486.25	$4,414.57	$6,670.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,413.30 / $4,720.14 / $5,096.68	Facility		$3,413.30	$4,720.14	$5,096.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,997.26 / $4,384.02 / $6,470.93	Facility		$2,997.26	$4,384.02	$6,470.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,239.43 / $5,055.13 / $6,967.88	Professional		$4,239.43	$5,055.13	$6,967.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,636.43 / $12,636.43 / $12,636.43	Facility		$12,636.43	$12,636.43	$12,636.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,639.17 / $5,937.26 / $7,979.74	Professional		$4,639.17	$5,937.26	$7,979.74
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 $3,470.39 / $5,176.68 / $7,796.84	Professional		$3,470.39	$5,176.68	$7,796.84