Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $6,025.60 / $7,943.28	Facility		$3,162.28	$6,025.60	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,754.23 / $6,456.54	Professional		$1,995.26	$2,754.23	$6,456.54
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 / $6,606.93	Professional		$2,454.71	$4,265.80	$6,606.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,897.79 / $5,754.40	Professional		$3,715.35	$4,897.79	$5,754.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,548.13 / $5,623.41	Facility		$2,290.87	$3,548.13	$5,623.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,265.80 / $6,309.57	Professional		$3,548.13	$4,265.80	$6,309.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $4,365.16 / $5,011.87	Facility		$3,467.37	$4,365.16	$5,011.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,548.13 / $5,248.07	Facility		$2,290.87	$3,548.13	$5,248.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $4,570.88 / $6,456.54	Professional		$79.43	$4,570.88	$6,456.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $12,022.64 / $12,022.64	Facility		$12,022.64	$12,022.64	$12,022.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $5,011.87 / $6,918.31	Professional		$3,981.07	$5,011.87	$6,918.31
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 $2,951.21 / $4,570.88 / $6,760.83	Professional		$2,951.21	$4,570.88	$6,760.83