Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,874.26 / $7,920.26 / $21,951.92	Facility		$1,874.26	$7,920.26	$21,951.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $780.10 / $1,191.36 / $3,278.00	Professional		$780.10	$1,191.36	$3,278.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.00 / $1,184.00 / $1,184.00	Facility		$1,184.00	$1,184.00	$1,184.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,006.01 / $1,637.34 / $2,503.23	Professional		$1,006.01	$1,637.34	$2,503.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,588.83 / $1,861.03 / $2,232.71	Professional		$1,588.83	$1,861.03	$2,232.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,191.36 / $1,546.28 / $2,050.19	Facility		$1,191.36	$1,546.28	$2,050.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,357.20 / $1,505.68 / $2,267.23	Professional		$1,357.20	$1,505.68	$2,267.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,176.36 / $1,610.01 / $1,725.25	Facility		$1,176.36	$1,610.01	$1,725.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,191.36 / $1,690.60 / $3,865.00	Facility		$1,191.36	$1,690.60	$3,865.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,477.95 / $1,719.67 / $2,359.90	Professional		$1,477.95	$1,719.67	$2,359.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $28,333.44	Facility		$16,860.72	$22,602.85	$28,333.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,570.79 / $2,009.79 / $2,701.18	Professional		$1,570.79	$2,009.79	$2,701.18
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 $1,173.59 / $1,687.05 / $2,636.69	Professional		$1,173.59	$1,687.05	$2,636.69