Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,179.42 / $7,256.76 / $11,029.52	Facility		$2,179.42	$7,256.76	$11,029.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $970.27 / $1,427.91 / $2,867.89	Professional		$970.27	$1,427.91	$2,867.89
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 $1,311.64 / $2,108.17 / $3,263.57	Professional		$1,311.64	$2,108.17	$3,263.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,067.73 / $2,421.98 / $2,905.68	Professional		$2,067.73	$2,421.98	$2,905.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,460.20 / $2,011.90 / $2,663.05	Facility		$1,460.20	$2,011.90	$2,663.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,660.05 / $1,955.86 / $2,950.18	Professional		$1,660.05	$1,955.86	$2,950.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,519.88 / $2,097.10 / $2,243.83	Facility		$1,519.88	$2,097.10	$2,243.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $2,011.90 / $2,814.57	Facility		$1,450.00	$2,011.90	$2,814.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,910.84 / $2,230.40 / $3,037.92	Professional		$1,910.84	$2,230.40	$3,037.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,017.30 / $2,613.89 / $3,495.82	Professional		$2,017.30	$2,613.89	$3,495.82
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 $1,562.40 / $2,225.69 / $3,489.59	Professional		$1,562.40	$2,225.69	$3,489.59