Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,897.88 / $2,747.00 / $7,920.26	Facility		$1,897.88	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $841.28 / $1,285.86 / $3,076.01	Professional		$841.28	$1,285.86	$3,076.01
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 $1,137.40 / $1,821.56 / $2,929.19	Professional		$1,137.40	$1,821.56	$2,929.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,810.52 / $2,120.69 / $2,544.23	Professional		$1,810.52	$2,120.69	$2,544.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,157.77 / $1,735.92 / $2,277.15	Facility		$1,157.77	$1,735.92	$2,277.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,449.42 / $1,723.66 / $2,659.37	Professional		$1,449.42	$1,723.66	$2,659.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,321.72 / $1,809.00 / $2,027.42	Facility		$1,321.72	$1,809.00	$2,027.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,157.77 / $1,761.64 / $2,570.01	Facility		$1,157.77	$1,761.64	$2,570.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,655.78 / $2,000.56 / $2,756.74	Professional		$1,655.78	$2,000.56	$2,756.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,895.93 / $4,895.93 / $4,895.93	Facility		$4,895.93	$4,895.93	$4,895.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,842.01 / $2,361.79 / $3,174.27	Professional		$1,842.01	$2,361.79	$3,174.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,323.51 / $1,898.26 / $3,036.77	Professional		$1,323.51	$1,898.26	$3,036.77