Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,460.63 / $7,920.26	Facility		$2,747.00	$3,460.63	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,262.95 / $1,859.28 / $4,444.54	Professional		$1,262.95	$1,859.28	$4,444.54
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 $1,706.15 / $2,673.09 / $4,288.32	Professional		$1,706.15	$2,673.09	$4,288.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,606.10 / $3,055.43 / $3,662.24	Professional		$2,606.10	$3,055.43	$3,662.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,698.36 / $2,510.03 / $3,406.86	Facility		$1,698.36	$2,510.03	$3,406.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,152.96 / $2,551.92 / $3,854.12	Professional		$2,152.96	$2,551.92	$3,854.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,806.63 / $2,564.73 / $2,939.96	Facility		$1,806.63	$2,564.73	$2,939.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,698.36 / $2,544.48 / $3,728.44	Facility		$1,698.36	$2,544.48	$3,728.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,433.42 / $2,907.00 / $3,997.40	Professional		$2,433.42	$2,907.00	$3,997.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,542.68 / $6,542.68 / $6,542.68	Facility		$6,542.68	$6,542.68	$6,542.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,672.30 / $3,424.83 / $4,603.01	Professional		$2,672.30	$3,424.83	$4,603.01
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 $1,964.48 / $2,798.88 / $4,438.70	Professional		$1,964.48	$2,798.88	$4,438.70