Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,310.82 / $4,962.67 / $15,341.00	Facility		$2,310.82	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,034.97 / $1,621.81 / $3,739.92	Professional		$1,034.97	$1,621.81	$3,739.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,386.76 / $2,218.52 / $3,606.18	Professional		$1,386.76	$2,218.52	$3,606.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,197.09 / $2,573.51 / $3,087.47	Professional		$2,197.09	$2,573.51	$3,087.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,392.06 / $2,139.12 / $2,851.75	Facility		$1,392.06	$2,139.12	$2,851.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,720.74 / $2,099.53 / $3,239.27	Professional		$1,720.74	$2,099.53	$3,239.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,648.70 / $2,288.71 / $2,470.29	Facility		$1,648.70	$2,288.71	$2,470.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,502.98 / $2,312.36 / $3,486.89	Facility		$1,502.98	$2,312.36	$3,486.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,016.65 / $2,432.56 / $3,336.73	Professional		$2,016.65	$2,432.56	$3,336.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $9,638.43 / $12,117.15	Facility		$7,715.78	$9,638.43	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,099.71 / $2,762.27 / $3,638.64	Professional		$2,099.71	$2,762.27	$3,638.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,655.99 / $2,348.11 / $3,565.91	Professional		$1,655.99	$2,348.11	$3,565.91