Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $7,920.26 / $24,430.92	Facility		$1,924.00	$7,920.26	$24,430.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,530.03 / $2,198.35 / $4,606.43	Professional		$1,530.03	$2,198.35	$4,606.43
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 $2,044.74 / $3,316.19 / $4,987.70	Professional		$2,044.74	$3,316.19	$4,987.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,160.18 / $3,711.03 / $4,440.85	Professional		$3,160.18	$3,711.03	$4,440.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,140.44 / $3,090.70 / $4,289.10	Facility		$2,140.44	$3,090.70	$4,289.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,608.19 / $2,964.38 / $4,463.72	Professional		$2,608.19	$2,964.38	$4,463.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,244.92 / $3,192.23 / $3,398.24	Facility		$2,244.92	$3,192.23	$3,398.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,140.44 / $3,108.96 / $4,359.14	Facility		$2,140.44	$3,108.96	$4,359.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,934.00 / $3,484.00 / $4,712.27	Professional		$2,934.00	$3,484.00	$4,712.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,457.51 / $15,013.51 / $20,493.73	Facility		$6,457.51	$15,013.51	$20,493.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,125.59 / $3,958.70 / $5,320.53	Professional		$3,125.59	$3,958.70	$5,320.53
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 $2,372.16 / $3,442.39 / $5,329.46	Professional		$2,372.16	$3,442.39	$5,329.46