Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,815.53 / $2,747.00 / $7,920.26	Facility		$1,815.53	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $809.20 / $1,218.71 / $2,856.82	Professional		$809.20	$1,218.71	$2,856.82
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 $1,094.01 / $1,734.68 / $2,724.94	Professional		$1,094.01	$1,734.68	$2,724.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,660.51 / $1,963.02 / $2,333.44	Professional		$1,660.51	$1,963.02	$2,333.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,132.58 / $1,634.94 / $2,215.94	Facility		$1,132.58	$1,634.94	$2,215.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,383.63 / $1,617.11 / $2,433.16	Professional		$1,383.63	$1,617.11	$2,433.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,224.82 / $1,693.76 / $1,856.57	Facility		$1,224.82	$1,693.76	$1,856.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,132.58 / $1,644.48 / $2,364.92	Facility		$1,132.58	$1,644.48	$2,364.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,591.65 / $1,874.08 / $2,546.54	Professional		$1,591.65	$1,874.08	$2,546.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,734.46 / $4,734.46 / $4,734.46	Facility		$4,734.46	$4,734.46	$4,734.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,695.02 / $2,162.77 / $2,906.78	Professional		$1,695.02	$2,162.77	$2,906.78
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 $1,279.04 / $1,827.01 / $2,855.21	Professional		$1,279.04	$1,827.01	$2,855.21