Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,730.33 / $3,250.20 / $4,116.43	Facility		$2,730.33	$3,250.20	$4,116.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,351.89 / $1,901.03 / $4,802.80	Professional		$1,351.89	$1,901.03	$4,802.80
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 $1,986.73 / $3,175.23 / $4,595.96	Professional		$1,986.73	$3,175.23	$4,595.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,694.15 / $3,354.34 / $4,074.82	Professional		$2,694.15	$3,354.34	$4,074.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,901.03 / $2,944.08 / $4,251.28	Facility		$1,901.03	$2,944.08	$4,251.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,305.19 / $2,918.24 / $4,206.00	Professional		$2,305.19	$2,918.24	$4,206.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,275.00 / $3,211.93 / $3,672.27	Facility		$2,275.00	$3,211.93	$3,672.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,901.03 / $2,944.08 / $4,251.89	Facility		$1,901.03	$2,944.08	$4,251.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,509.55 / $3,248.52 / $4,424.27	Professional		$2,509.55	$3,248.52	$4,424.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,721.75 / $12,751.18	Facility		$7,382.73	$9,721.75	$12,751.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,526.71 / $3,377.59 / $4,695.81	Professional		$2,526.71	$3,377.59	$4,695.81
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 $2,292.65 / $3,538.66 / $5,151.47	Professional		$2,292.65	$3,538.66	$5,151.47