Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,458.37 / $7,920.26	Facility		$2,747.00	$4,458.37	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,620.96 / $2,394.33 / $5,725.94	Professional		$1,620.96	$2,394.33	$5,725.94
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 $2,201.21 / $3,441.99 / $5,534.28	Professional		$2,201.21	$3,441.99	$5,534.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,352.36 / $3,933.30 / $4,710.92	Professional		$3,352.36	$3,933.30	$4,710.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,274.61 / $3,275.46 / $4,388.58	Facility		$2,274.61	$3,275.46	$4,388.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,784.09 / $3,262.89 / $4,965.03	Professional		$2,784.09	$3,262.89	$4,965.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,436.96 / $3,346.85 / $3,791.53	Facility		$2,436.96	$3,346.85	$3,791.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,274.61 / $3,280.23 / $4,808.79	Facility		$2,274.61	$3,280.23	$4,808.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,126.42 / $3,749.52 / $5,178.10	Professional		$3,126.42	$3,749.52	$5,178.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,760.87 / $8,760.87 / $8,760.87	Facility		$8,760.87	$8,760.87	$8,760.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,446.63 / $4,416.85 / $5,936.29	Professional		$3,446.63	$4,416.85	$5,936.29
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 $2,589.27 / $3,614.88 / $5,732.77	Professional		$2,589.27	$3,614.88	$5,732.77