Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,355.54 / $7,920.26	Facility		$2,747.00	$3,355.54	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,263.33 / $1,867.58 / $4,309.57	Professional		$1,263.33	$1,867.58	$4,309.57
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 $1,543.09 / $2,653.34 / $4,030.87	Professional		$1,543.09	$2,653.34	$4,030.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,542.36 / $2,977.93 / $3,572.66	Professional		$2,542.36	$2,977.93	$3,572.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,485.47 / $2,394.55 / $3,333.09	Facility		$1,485.47	$2,394.55	$3,333.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,891.88 / $2,354.21 / $3,603.47	Professional		$1,891.88	$2,354.21	$3,603.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,743.23 / $2,469.76 / $2,746.33	Facility		$1,743.23	$2,469.76	$2,746.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,485.47 / $2,468.21 / $3,519.07	Facility		$1,485.47	$2,468.21	$3,519.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,250.12 / $2,800.75 / $3,789.32	Professional		$2,250.12	$2,800.75	$3,789.32
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 $2,521.62 / $3,199.27 / $4,299.85	Professional		$2,521.62	$3,199.27	$4,299.85
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 $1,878.15 / $2,689.39 / $4,321.42	Professional		$1,878.15	$2,689.39	$4,321.42