Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,541.88 / $4,962.67 / $15,341.00	Facility		$2,541.88	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,141.32 / $1,785.04 / $3,350.88	Professional		$1,141.32	$1,785.04	$3,350.88
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 $1,539.40 / $2,425.40 / $3,612.29	Professional		$1,539.40	$2,425.40	$3,612.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,249.71 / $2,651.17 / $3,161.42	Professional		$2,249.71	$2,651.17	$3,161.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,785.04 / $2,331.51 / $3,249.55	Facility		$1,785.04	$2,331.51	$3,249.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,959.60 / $2,224.30 / $3,197.37	Professional		$1,959.60	$2,224.30	$3,197.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,843.04 / $2,385.88 / $2,548.67	Facility		$1,843.04	$2,385.88	$2,548.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,785.04 / $2,499.06 / $3,837.84	Facility		$1,785.04	$2,499.06	$3,837.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,261.16 / $2,557.13 / $3,472.91	Professional		$2,261.16	$2,557.13	$3,472.91
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 $2,229.48 / $2,826.97 / $3,799.48	Professional		$2,229.48	$2,826.97	$3,799.48
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 $1,837.50 / $2,625.69 / $3,798.47	Professional		$1,837.50	$2,625.69	$3,798.47