Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.78 / $3,157.13 / $3,904.51	Facility		$2,630.78	$3,157.13	$3,904.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,297.94 / $1,828.20 / $4,695.72	Professional		$1,297.94	$1,828.20	$4,695.72
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 $1,943.39 / $3,064.75 / $4,363.66	Professional		$1,943.39	$3,064.75	$4,363.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,540.87 / $3,261.85 / $3,842.98	Professional		$2,540.87	$3,261.85	$3,842.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,828.20 / $2,846.99 / $4,188.34	Facility		$1,828.20	$2,846.99	$4,188.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,248.19 / $2,799.40 / $4,029.96	Professional		$2,248.19	$2,799.40	$4,029.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,152.31 / $3,051.78 / $3,587.18	Facility		$2,152.31	$3,051.78	$3,587.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,828.20 / $2,879.59 / $4,188.34	Facility		$1,828.20	$2,879.59	$4,188.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,426.48 / $3,122.46 / $4,220.82	Professional		$2,426.48	$3,122.46	$4,220.82
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 $2,432.00 / $3,218.97 / $4,436.20	Professional		$2,432.00	$3,218.97	$4,436.20
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 $2,383.14 / $3,595.19 / $4,925.10	Professional		$2,383.14	$3,595.19	$4,925.10