Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,691.42 / $2,747.00 / $7,920.26	Facility		$1,691.42	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $828.03 / $966.33 / $2,692.21	Professional		$828.03	$966.33	$2,692.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $5,022.74	Facility		$1,664.70	$1,664.70	$5,022.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $857.07 / $1,648.31 / $2,313.90	Professional		$857.07	$1,648.31	$2,313.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,363.52 / $1,790.42 / $2,237.41	Professional		$1,363.52	$1,790.42	$2,237.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $923.68 / $1,668.21 / $2,383.42	Facility		$923.68	$1,668.21	$2,383.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,306.10 / $1,525.95 / $2,496.09	Professional		$1,306.10	$1,525.95	$2,496.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,168.65 / $1,592.96 / $1,702.47	Facility		$1,168.65	$1,592.96	$1,702.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $970.12 / $1,814.78 / $2,383.42	Facility		$970.12	$1,814.78	$2,383.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,418.70 / $1,832.06 / $2,337.71	Professional		$1,418.70	$1,832.06	$2,337.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,671.70 / $19,116.02 / $21,922.68	Facility		$13,671.70	$19,116.02	$21,922.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,562.79 / $1,983.25 / $2,541.01	Professional		$1,562.79	$1,983.25	$2,541.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,151.00 / $16,268.00 / $24,231.00	Facility		$2,151.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,182.50 / $1,702.80 / $2,652.10	Professional		$1,182.50	$1,702.80	$2,652.10