Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,422.02 / $7,920.26 / $34,910.44	Facility		$2,422.02	$7,920.26	$34,910.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,010.28 / $1,540.63 / $3,483.16	Professional		$1,010.28	$1,540.63	$3,483.16
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 $1,319.08 / $2,118.17 / $3,276.62	Professional		$1,319.08	$2,118.17	$3,276.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,048.67 / $2,399.83 / $2,878.92	Professional		$2,048.67	$2,399.83	$2,878.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,472.29 / $1,998.26 / $2,678.35	Facility		$1,472.29	$1,998.26	$2,678.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,716.88 / $1,948.22 / $2,933.60	Professional		$1,716.88	$1,948.22	$2,933.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,544.10 / $2,092.07 / $2,232.44	Facility		$1,544.10	$2,092.07	$2,232.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,466.67 / $2,042.64 / $2,835.16	Facility		$1,466.67	$2,042.64	$2,835.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,933.80 / $2,246.04 / $3,059.78	Professional		$1,933.80	$2,246.04	$3,059.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,472.14 / $39,875.19 / $51,188.76	Facility		$18,472.14	$39,875.19	$51,188.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,031.44 / $2,600.63 / $3,495.27	Professional		$2,031.44	$2,600.63	$3,495.27
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 $1,559.67 / $2,197.09 / $3,432.54	Professional		$1,559.67	$2,197.09	$3,432.54