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 $2,120.23 / $3,090.36 / $7,375.07	Professional		$2,120.23	$3,090.36	$7,375.07
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 $2,867.53 / $4,447.13 / $7,196.37	Professional		$2,867.53	$4,447.13	$7,196.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,299.96 / $5,064.43 / $6,042.54	Professional		$4,299.96	$5,064.43	$6,042.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,871.40 / $4,156.60 / $5,756.67	Facility		$2,871.40	$4,156.60	$5,756.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,587.40 / $4,263.00 / $6,419.17	Professional		$3,587.40	$4,263.00	$6,419.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,070.28 / $4,255.97 / $4,903.06	Facility		$3,070.28	$4,255.97	$4,903.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,871.40 / $4,217.24 / $6,228.95	Facility		$2,871.40	$4,217.24	$6,228.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,053.06 / $4,887.55 / $6,678.28	Professional		$4,053.06	$4,887.55	$6,678.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,992.27 / $11,992.27 / $11,992.27	Facility		$11,992.27	$11,992.27	$11,992.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,463.89 / $5,711.70 / $7,676.58	Professional		$4,463.89	$5,711.70	$7,676.58
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 $3,339.83 / $4,731.43 / $7,503.50	Professional		$3,339.83	$4,731.43	$7,503.50