Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.75 / $2,405.81 / $7,920.26	Facility		$1,820.75	$2,405.81	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $926.25 / $1,389.87 / $2,882.44	Professional		$926.25	$1,389.87	$2,882.44
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 $1,230.89 / $2,100.84 / $3,215.65	Professional		$1,230.89	$2,100.84	$3,215.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,021.41 / $2,367.73 / $2,840.60	Professional		$2,021.41	$2,367.73	$2,840.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,410.26 / $1,866.20 / $2,610.35	Facility		$1,410.26	$1,866.20	$2,610.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,501.80 / $1,881.52 / $2,875.96	Professional		$1,501.80	$1,881.52	$2,875.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,418.55 / $2,091.07 / $2,201.84	Facility		$1,418.55	$2,091.07	$2,201.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,410.26 / $1,967.26 / $2,802.55	Facility		$1,410.26	$1,967.26	$2,802.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,810.38 / $2,229.50 / $3,050.53	Professional		$1,810.38	$2,229.50	$3,050.53
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 $2,008.69 / $2,552.23 / $3,430.23	Professional		$2,008.69	$2,552.23	$3,430.23
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 $1,507.75 / $2,261.63 / $3,474.71	Professional		$1,507.75	$2,261.63	$3,474.71