Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,116.62 / $20,400.00 / $23,856.49	Facility		$5,116.62	$20,400.00	$23,856.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,388.17 / $1,577.03 / $2,226.26	Professional		$1,388.17	$1,577.03	$2,226.26
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 $1,833.43 / $3,007.40 / $4,715.30	Professional		$1,833.43	$3,007.40	$4,715.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,931.08 / $3,414.03 / $4,096.22	Professional		$2,931.08	$3,414.03	$4,096.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,114.94 / $2,671.51 / $4,343.63	Facility		$2,114.94	$2,671.51	$4,343.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,971.87 / $3,971.87 / $3,971.87	Professional		$3,971.87	$3,971.87	$3,971.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,927.59 / $2,899.96 / $3,212.65	Facility		$1,927.59	$2,899.96	$3,212.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,007.00 / $2,337.57 / $4,074.07	Facility		$2,007.00	$2,337.57	$4,074.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,134.54 / $3,294.08 / $4,728.68	Professional		$2,134.54	$3,294.08	$4,728.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,920.17 / $3,742.50 / $5,029.96	Professional		$2,920.17	$3,742.50	$5,029.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $17,192.00 / $22,956.00	Facility		$2,912.00	$17,192.00	$22,956.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,876.98 / $2,975.69 / $4,918.91	Professional		$1,876.98	$2,975.69	$4,918.91