Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,232.21 / $2,762.06 / $7,920.26	Facility		$2,232.21	$2,762.06	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,007.18 / $1,559.95 / $3,547.35	Professional		$1,007.18	$1,559.95	$3,547.35
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 $1,330.49 / $2,149.94 / $3,337.59	Professional		$1,330.49	$2,149.94	$3,337.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,086.30 / $2,444.41 / $2,931.78	Professional		$2,086.30	$2,444.41	$2,931.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,476.41 / $2,035.46 / $2,727.65	Facility		$1,476.41	$2,035.46	$2,727.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,702.38 / $1,974.70 / $2,988.63	Professional		$1,702.38	$1,974.70	$2,988.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,538.29 / $2,127.25 / $2,273.98	Facility		$1,538.29	$2,127.25	$2,273.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,476.41 / $2,035.46 / $2,888.36	Facility		$1,476.41	$2,035.46	$2,888.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,936.58 / $2,273.40 / $3,117.63	Professional		$1,936.58	$2,273.40	$3,117.63
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 $2,070.19 / $2,649.02 / $3,560.31	Professional		$2,070.19	$2,649.02	$3,560.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $20,708.00 / $24,872.00	Facility		$3,028.00	$20,708.00	$24,872.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,558.56 / $2,240.42 / $3,501.57	Professional		$1,558.56	$2,240.42	$3,501.57