Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $13,489.63 / $13,489.63	Facility		$2,884.03	$13,489.63	$13,489.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,454.71 / $2,818.38	Professional		$1,513.56	$2,454.71	$2,818.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $8,709.64	Facility		$4,897.79	$4,897.79	$8,709.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Professional		$2,398.83	$2,398.83	$2,398.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $6,456.54 / $7,943.28	Professional		$3,019.95	$6,456.54	$7,943.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility		$3,019.95	$3,019.95	$3,019.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,019.95 / $4,168.69	Professional		$2,511.89	$3,019.95	$4,168.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,311.31 / $5,248.07	Facility		$2,691.53	$3,311.31	$5,248.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,168.69 / $7,943.28	Facility		$2,238.72	$4,168.69	$7,943.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $3,311.31 / $4,168.69	Professional		$79.43	$3,311.31	$4,168.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $8,912.51 / $11,748.98	Facility		$5,248.07	$8,912.51	$11,748.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,570.40 / $3,630.78	Professional		$2,398.83	$2,570.40	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $4,786.30	Facility		$3,630.78	$3,630.78	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $3,630.78	Professional		$1,258.93	$1,258.93	$3,630.78