Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,067.58 / $7,920.26 / $15,978.56	Facility		$2,067.58	$7,920.26	$15,978.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $943.21 / $1,450.77 / $3,219.26	Professional		$943.21	$1,450.77	$3,219.26
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 $1,204.17 / $1,997.36 / $2,980.62	Professional		$1,204.17	$1,997.36	$2,980.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,885.32 / $2,220.78 / $2,649.36	Professional		$1,885.32	$2,220.78	$2,649.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,450.77 / $1,849.46 / $2,620.55	Facility		$1,450.77	$1,849.46	$2,620.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,610.57 / $1,799.16 / $2,673.35	Professional		$1,610.57	$1,799.16	$2,673.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,413.29 / $1,954.39 / $2,037.96	Facility		$1,413.29	$1,954.39	$2,037.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,450.77 / $1,896.48 / $2,620.55	Facility		$1,450.77	$1,896.48	$2,620.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,825.11 / $2,099.85 / $2,822.27	Professional		$1,825.11	$2,099.85	$2,822.27
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 $1,864.16 / $2,365.69 / $3,179.52	Professional		$1,864.16	$2,365.69	$3,179.52
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 $1,404.36 / $2,091.61 / $3,194.67	Professional		$1,404.36	$2,091.61	$3,194.67