Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,537.04 / $7,920.26 / $21,975.68	Facility		$1,537.04	$7,920.26	$21,975.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $666.40 / $984.83 / $2,068.51	Professional		$666.40	$984.83	$2,068.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $916.62 / $1,488.59 / $2,277.92	Professional		$916.62	$1,488.59	$2,277.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,448.10 / $1,696.20 / $2,034.95	Professional		$1,448.10	$1,696.20	$2,034.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,084.61 / $1,409.26 / $1,862.35	Facility		$1,084.61	$1,409.26	$1,862.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,228.20 / $1,368.80 / $2,061.13	Professional		$1,228.20	$1,368.80	$2,061.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,069.78 / $1,461.94 / $1,565.79	Facility		$1,069.78	$1,461.94	$1,565.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,084.61 / $1,548.24 / $5,949.00	Facility		$1,084.61	$1,548.24	$5,949.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,347.57 / $1,561.88 / $2,139.98	Professional		$1,347.57	$1,561.88	$2,139.98
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 $1,424.41 / $1,824.03 / $2,451.51	Professional		$1,424.41	$1,824.03	$2,451.51
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 $1,117.76 / $1,596.38 / $2,464.00	Professional		$1,117.76	$1,596.38	$2,464.00