Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,797.71 / $2,747.00 / $7,920.26	Facility		$1,797.71	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $834.16 / $1,267.05 / $2,846.76	Professional		$834.16	$1,267.05	$2,846.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.00 / $1,184.00 / $1,184.00	Facility		$1,184.00	$1,184.00	$1,184.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,073.72 / $1,738.64 / $2,666.92	Professional		$1,073.72	$1,738.64	$2,666.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,676.31 / $1,963.50 / $2,355.64	Professional		$1,676.31	$1,963.50	$2,355.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,253.38 / $1,633.70 / $2,187.81	Facility		$1,253.38	$1,633.70	$2,187.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,370.54 / $1,586.30 / $2,388.64	Professional		$1,370.54	$1,586.30	$2,388.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,235.29 / $1,721.90 / $1,817.04	Facility		$1,235.29	$1,721.90	$1,817.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,253.38 / $1,633.70 / $2,321.16	Facility		$1,253.38	$1,633.70	$2,321.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,566.45 / $1,839.40 / $2,492.84	Professional		$1,566.45	$1,839.40	$2,492.84
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 $1,663.66 / $2,116.71 / $2,844.89	Professional		$1,663.66	$2,116.71	$2,844.89
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 $1,229.98 / $1,764.11 / $2,802.38	Professional		$1,229.98	$1,764.11	$2,802.38