Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,108.44 / $2,545.15 / $3,382.96	Facility		$2,108.44	$2,545.15	$3,382.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,042.74 / $1,541.63 / $3,964.38	Professional		$1,042.74	$1,541.63	$3,964.38
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 $1,637.34 / $2,609.30 / $3,717.89	Professional		$1,637.34	$2,609.30	$3,717.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,176.73 / $2,651.62 / $3,359.65	Professional		$2,176.73	$2,651.62	$3,359.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,468.67 / $2,298.96 / $3,402.14	Facility		$1,468.67	$2,298.96	$3,402.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,814.07 / $2,362.75 / $3,337.79	Professional		$1,814.07	$2,362.75	$3,337.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,687.03 / $2,592.36 / $3,047.16	Facility		$1,687.03	$2,592.36	$3,047.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,468.67 / $2,320.36 / $3,456.43	Facility		$1,468.67	$2,320.36	$3,456.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,958.40 / $2,604.46 / $3,599.76	Professional		$1,958.40	$2,604.46	$3,599.76
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 $1,949.44 / $2,691.92 / $3,816.53	Professional		$1,949.44	$2,691.92	$3,816.53
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $17,192.00 / $22,956.00	Facility		$2,912.00	$17,192.00	$22,956.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,980.58 / $2,893.60 / $4,177.80	Professional		$1,980.58	$2,893.60	$4,177.80