Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,389.26 / $7,920.26	Facility		$2,747.00	$3,389.26	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,234.31 / $1,923.71 / $4,352.87	Professional		$1,234.31	$1,923.71	$4,352.87
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 $1,644.42 / $2,638.53 / $4,099.71	Professional		$1,644.42	$2,638.53	$4,099.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,552.98 / $2,997.66 / $3,587.59	Professional		$2,552.98	$2,997.66	$3,587.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,862.22 / $2,496.12 / $3,368.55	Facility		$1,862.22	$2,496.12	$3,368.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,163.13 / $2,444.65 / $3,669.84	Professional		$2,163.13	$2,444.65	$3,669.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,938.97 / $2,629.83 / $2,793.23	Facility		$1,938.97	$2,629.83	$2,793.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,862.22 / $2,496.12 / $3,555.11	Facility		$1,862.22	$2,496.12	$3,555.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,388.15 / $2,817.24 / $3,828.39	Professional		$2,388.15	$2,817.24	$3,828.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,472.14 / $39,875.19 / $51,188.76	Facility		$18,472.14	$39,875.19	$51,188.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,548.07 / $3,253.90 / $4,373.28	Professional		$2,548.07	$3,253.90	$4,373.28
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,926.39 / $2,766.21 / $4,292.16	Professional		$1,926.39	$2,766.21	$4,292.16