Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,182.79 / $7,920.26 / $23,856.49	Facility		$3,182.79	$7,920.26	$23,856.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,440.05 / $2,228.48 / $5,015.53	Professional		$1,440.05	$2,228.48	$5,015.53
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 $1,932.98 / $3,035.02 / $4,731.04	Professional		$1,932.98	$3,035.02	$4,731.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,933.23 / $3,453.45 / $4,121.93	Professional		$2,933.23	$3,453.45	$4,121.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,117.07 / $2,913.87 / $3,813.48	Facility		$2,117.07	$2,913.87	$3,813.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,476.60 / $2,822.09 / $4,233.14	Professional		$2,476.60	$2,822.09	$4,233.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,002.63 / $2,893.79 / $3,223.37	Facility		$2,002.63	$2,893.79	$3,223.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,117.07 / $2,921.04 / $4,103.43	Facility		$2,117.07	$2,921.04	$4,103.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,783.34 / $3,252.44 / $4,418.57	Professional		$2,783.34	$3,252.44	$4,418.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23,802.20 / $51,381.00 / $65,959.06	Facility		$23,802.20	$51,381.00	$65,959.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,941.68 / $3,754.99 / $5,046.74	Professional		$2,941.68	$3,754.99	$5,046.74
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $51,981.00	Facility		$3,340.00	$26,100.00	$51,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,191.14 / $3,216.79 / $5,027.51	Professional		$2,191.14	$3,216.79	$5,027.51