Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,360.97 / $2,824.50 / $7,920.26	Facility		$1,360.97	$2,824.50	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $682.71 / $1,040.02 / $3,307.75	Professional		$682.71	$1,040.02	$3,307.75
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 $885.65 / $1,494.71 / $2,201.78	Professional		$885.65	$1,494.71	$2,201.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,489.67 / $1,746.03 / $2,094.73	Professional		$1,489.67	$1,746.03	$2,094.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,005.00 / $1,395.56 / $1,807.95	Facility		$1,005.00	$1,395.56	$1,807.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,183.20 / $1,364.62 / $2,110.02	Professional		$1,183.20	$1,364.62	$2,110.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,036.34 / $1,433.13 / $1,611.35	Facility		$1,036.34	$1,433.13	$1,611.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,040.02 / $1,527.07 / $2,919.00	Facility		$1,040.02	$1,527.07	$2,919.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,303.20 / $1,593.99 / $2,196.96	Professional		$1,303.20	$1,593.99	$2,196.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $21,418.17 / $26,781.36	Facility		$16,860.72	$21,418.17	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,401.70 / $1,877.10 / $2,522.84	Professional		$1,401.70	$1,877.10	$2,522.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,077.14 / $1,540.70 / $2,518.02	Professional		$1,077.14	$1,540.70	$2,518.02