Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,053.07 / $4,962.67 / $15,341.00	Facility		$2,053.07	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $942.51 / $1,129.33 / $2,677.38	Professional		$942.51	$1,129.33	$2,677.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,244.82 / $2,078.92 / $3,044.50	Professional		$1,244.82	$2,078.92	$3,044.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,850.13 / $2,167.10 / $2,599.90	Professional		$1,850.13	$2,167.10	$2,599.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,452.87 / $1,911.99 / $2,776.10	Facility		$1,452.87	$1,911.99	$2,776.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,606.02 / $1,876.88 / $2,600.86	Professional		$1,606.02	$1,876.88	$2,600.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,567.51 / $1,946.87 / $2,168.12	Facility		$1,567.51	$1,946.87	$2,168.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,452.87 / $2,067.82 / $3,123.67	Facility		$1,452.87	$2,067.82	$3,123.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,835.82 / $2,124.52 / $2,828.08	Professional		$1,835.82	$2,124.52	$2,828.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,671.70 / $18,246.18 / $21,922.68	Facility		$13,671.70	$18,246.18	$21,922.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,815.56 / $2,307.94 / $3,101.89	Professional		$1,815.56	$2,307.94	$3,101.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $17,192.00 / $24,231.00	Facility		$2,912.00	$17,192.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,455.76 / $2,192.09 / $3,111.41	Professional		$1,455.76	$2,192.09	$3,111.41