Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,162.28 / $13,182.57	Facility		$2,344.23	$3,162.28	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,348.96 / $3,388.44	Professional		$1,096.48	$1,348.96	$3,388.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,187.76 / $3,311.31	Professional		$1,230.27	$2,187.76	$3,311.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,398.83 / $2,951.21	Professional		$1,819.70	$2,398.83	$2,951.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,819.70 / $3,019.95	Facility		$1,148.15	$1,819.70	$3,019.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,187.76 / $2,951.21	Professional		$1,819.70	$2,187.76	$2,951.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,344.23 / $2,454.71	Facility		$1,949.84	$2,344.23	$2,454.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,819.70 / $2,691.53	Facility		$1,148.15	$1,819.70	$2,691.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,290.87 / $3,235.94	Professional		$79.43	$2,290.87	$3,235.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $5,011.87 / $6,165.95	Facility		$3,801.89	$5,011.87	$6,165.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,511.89 / $3,630.78	Professional		$2,137.96	$2,511.89	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $8,128.31 / $12,882.50	Facility		$1,995.26	$8,128.31	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,344.23 / $3,311.31	Professional		$1,584.89	$2,344.23	$3,311.31