Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,951.21 / $7,943.28	Facility		$1,548.82	$2,951.21	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,318.26 / $3,235.94	Professional		$891.25	$1,318.26	$3,235.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,995.26 / $3,235.94	Professional		$1,096.48	$1,995.26	$3,235.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,454.71 / $2,951.21	Professional		$1,905.46	$2,454.71	$2,951.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,584.89 / $2,398.83	Facility		$1,122.02	$1,584.89	$2,398.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,041.74 / $2,884.03	Professional		$1,380.38	$2,041.74	$2,884.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,995.26 / $2,454.71	Facility		$1,479.11	$1,995.26	$2,454.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,584.89 / $2,454.71	Facility		$1,122.02	$1,584.89	$2,454.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,137.96 / $3,162.28	Professional		$79.43	$2,137.96	$3,162.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $6,165.95 / $7,413.10	Facility		$4,897.79	$6,165.95	$7,413.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,454.71 / $3,388.44	Professional		$1,659.59	$2,454.71	$3,388.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,754.40 / $8,511.38	Facility		$1,698.24	$5,754.40	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,137.96 / $3,162.28	Professional		$1,318.26	$2,137.96	$3,162.28