Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,453.84 / $2,463.30 / $7,920.26	Facility		$1,453.84	$2,463.30	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $900.06 / $1,203.22 / $2,578.98	Professional		$900.06	$1,203.22	$2,578.98
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 $1,170.03 / $1,917.08 / $2,977.67	Professional		$1,170.03	$1,917.08	$2,977.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,859.12 / $2,180.39 / $2,612.54	Professional		$1,859.12	$2,180.39	$2,612.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,212.49 / $1,782.72 / $2,373.30	Facility		$1,212.49	$1,782.72	$2,373.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,507.80 / $1,768.27 / $2,667.22	Professional		$1,507.80	$1,768.27	$2,667.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,317.36 / $1,821.73 / $2,028.76	Facility		$1,317.36	$1,821.73	$2,028.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,212.49 / $1,815.98 / $2,578.59	Facility		$1,212.49	$1,815.98	$2,578.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,699.44 / $2,029.19 / $2,780.61	Professional		$1,699.44	$2,029.19	$2,780.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,848.17 / $2,363.35 / $3,176.37	Professional		$1,848.17	$2,363.35	$3,176.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,336.76 / $1,947.01 / $3,113.18	Professional		$1,336.76	$1,947.01	$3,113.18