Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,947.52 / $2,747.00 / $7,920.26	Facility		$1,947.52	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.58 / $1,371.01 / $2,527.83	Professional		$891.58	$1,371.01	$2,527.83
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 $1,163.76 / $1,879.79 / $2,897.29	Professional		$1,163.76	$1,879.79	$2,897.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,821.55 / $2,133.62 / $2,559.73	Professional		$1,821.55	$2,133.62	$2,559.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,344.89 / $1,776.30 / $2,370.65	Facility		$1,344.89	$1,776.30	$2,370.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,498.14 / $1,728.32 / $2,606.96	Professional		$1,498.14	$1,728.32	$2,606.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,330.92 / $1,840.49 / $1,983.20	Facility		$1,330.92	$1,840.49	$1,983.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,344.89 / $1,811.52 / $2,522.81	Facility		$1,344.89	$1,811.52	$2,522.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,706.25 / $1,982.54 / $2,718.17	Professional		$1,706.25	$1,982.54	$2,718.17
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 $1,808.19 / $2,310.28 / $3,105.04	Professional		$1,808.19	$2,310.28	$3,105.04
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 $1,400.97 / $1,948.10 / $3,045.83	Professional		$1,400.97	$1,948.10	$3,045.83