Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,026.22 / $7,920.26	Facility		$2,747.00	$4,026.22	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,435.43 / $2,161.48 / $5,170.93	Professional		$1,435.43	$2,161.48	$5,170.93
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 $1,938.27 / $3,079.97 / $4,970.46	Professional		$1,938.27	$3,079.97	$4,970.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,031.74 / $3,553.25 / $4,260.35	Professional		$3,031.74	$3,553.25	$4,260.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,041.85 / $2,884.72 / $3,983.95	Facility		$2,041.85	$2,884.72	$3,983.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,452.23 / $2,903.92 / $4,480.33	Professional		$2,452.23	$2,903.92	$4,480.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,048.46 / $2,919.08 / $3,419.68	Facility		$2,048.46	$2,919.08	$3,419.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,041.85 / $2,959.26 / $4,335.97	Facility		$2,041.85	$2,959.26	$4,335.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,776.90 / $3,379.60 / $4,648.76	Professional		$2,776.90	$3,379.60	$4,648.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,634.89 / $8,634.89 / $8,634.89	Facility		$8,634.89	$8,634.89	$8,634.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,107.13 / $3,983.67 / $5,354.10	Professional		$3,107.13	$3,983.67	$5,354.10
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 $2,388.50 / $3,296.13 / $5,151.52	Professional		$2,388.50	$3,296.13	$5,151.52