Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,440.71 / $2,943.90 / $3,858.69	Facility		$2,440.71	$2,943.90	$3,858.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,206.53 / $1,786.12 / $4,548.21	Professional		$1,206.53	$1,786.12	$4,548.21
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 $1,877.23 / $2,981.72 / $4,238.06	Professional		$1,877.23	$2,981.72	$4,238.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,515.65 / $3,042.52 / $3,826.48	Professional		$2,515.65	$3,042.52	$3,826.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,699.22 / $2,643.28 / $3,971.63	Facility		$1,699.22	$2,643.28	$3,971.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,058.21 / $2,721.92 / $3,857.67	Professional		$2,058.21	$2,721.92	$3,857.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,073.11 / $2,971.98 / $3,493.38	Facility		$2,073.11	$2,971.98	$3,493.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,699.22 / $2,649.46 / $3,944.69	Facility		$1,699.22	$2,649.46	$3,944.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,264.96 / $2,982.34 / $4,114.14	Professional		$2,264.96	$2,982.34	$4,114.14
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 $2,256.64 / $3,101.89 / $4,355.66	Professional		$2,256.64	$3,101.89	$4,355.66
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 $2,174.69 / $3,373.09 / $4,782.47	Professional		$2,174.69	$3,373.09	$4,782.47