Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,596.83 / $2,712.87 / $7,920.26	Facility		$1,596.83	$2,712.87	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.77 / $1,478.04 / $3,484.17	Professional		$954.77	$1,478.04	$3,484.17
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 $1,217.94 / $2,082.64 / $3,220.36	Professional		$1,217.94	$2,082.64	$3,220.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,055.19 / $2,407.31 / $2,888.08	Professional		$2,055.19	$2,407.31	$2,888.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,398.42 / $1,884.24 / $2,545.83	Facility		$1,398.42	$1,884.24	$2,545.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,538.16 / $1,915.14 / $2,929.23	Professional		$1,538.16	$1,915.14	$2,929.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,284.89 / $1,829.85 / $2,229.09	Facility		$1,284.89	$1,829.85	$2,229.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,398.42 / $1,998.88 / $2,834.30	Facility		$1,398.42	$1,998.88	$2,834.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,740.23 / $2,219.52 / $3,050.17	Professional		$1,740.23	$2,219.52	$3,050.17
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 $2,031.44 / $2,596.71 / $3,490.02	Professional		$2,031.44	$2,596.71	$3,490.02
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 $1,450.80 / $2,081.48 / $3,400.21	Professional		$1,450.80	$2,081.48	$3,400.21