Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,463.46 / $3,042.58 / $7,920.26	Facility		$2,463.46	$3,042.58	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,102.01 / $1,675.86 / $3,907.63	Professional		$1,102.01	$1,675.86	$3,907.63
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 $1,439.26 / $2,381.23 / $3,662.10	Professional		$1,439.26	$2,381.23	$3,662.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,302.71 / $2,697.23 / $3,235.90	Professional		$2,302.71	$2,697.23	$3,235.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,630.60 / $2,236.32 / $2,968.20	Facility		$1,630.60	$2,236.32	$2,968.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,867.62 / $2,158.65 / $3,282.93	Professional		$1,867.62	$2,158.65	$3,282.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,678.31 / $2,320.88 / $2,495.08	Facility		$1,678.31	$2,320.88	$2,495.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,630.60 / $2,244.40 / $3,180.98	Facility		$1,630.60	$2,244.40	$3,180.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,115.48 / $2,518.60 / $3,425.27	Professional		$2,115.48	$2,518.60	$3,425.27
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 $2,279.91 / $2,906.58 / $3,906.48	Professional		$2,279.91	$2,906.58	$3,906.48
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 $1,727.03 / $2,505.36 / $3,840.45	Professional		$1,727.03	$2,505.36	$3,840.45