Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,415.17 / $3,011.40 / $7,920.26	Facility		$2,415.17	$3,011.40	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $861.70 / $1,370.43 / $3,818.04	Professional		$861.70	$1,370.43	$3,818.04
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 $1,295.53 / $2,301.98 / $3,418.93	Professional		$1,295.53	$2,301.98	$3,418.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,272.38 / $2,661.69 / $3,193.27	Professional		$2,272.38	$2,661.69	$3,193.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,370.43 / $1,984.73 / $2,688.43	Facility		$1,370.43	$1,984.73	$2,688.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,620.52 / $2,060.26 / $3,238.41	Professional		$1,620.52	$2,060.26	$3,238.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,382.78 / $2,031.15 / $2,474.31	Facility		$1,382.78	$2,031.15	$2,474.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,370.43 / $1,984.73 / $3,154.38	Facility		$1,370.43	$1,984.73	$3,154.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,895.16 / $2,453.73 / $3,381.92	Professional		$1,895.16	$2,453.73	$3,381.92
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 $2,176.57 / $2,882.39 / $3,873.96	Professional		$2,176.57	$2,882.39	$3,873.96
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 $1,577.34 / $2,263.13 / $3,697.83	Professional		$1,577.34	$2,263.13	$3,697.83