Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,288.92 / $2,881.02 / $7,920.26	Facility		$2,288.92	$2,881.02	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $743.47 / $1,230.32 / $3,395.01	Professional		$743.47	$1,230.32	$3,395.01
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 $1,228.83 / $2,183.94 / $3,559.89	Professional		$1,228.83	$2,183.94	$3,559.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,170.71 / $2,542.90 / $3,050.40	Professional		$2,170.71	$2,542.90	$3,050.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,292.45 / $1,719.51 / $2,430.60	Facility		$1,292.45	$1,719.51	$2,430.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,389.60 / $2,017.54 / $3,110.69	Professional		$1,389.60	$2,017.54	$3,110.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,253.40 / $2,007.50 / $2,445.50	Facility		$1,253.40	$2,007.50	$2,445.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,292.45 / $1,738.55 / $3,101.17	Facility		$1,292.45	$1,738.55	$3,101.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,696.38 / $2,410.60 / $3,324.88	Professional		$1,696.38	$2,410.60	$3,324.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,846.16 / $6,142.31 / $7,227.91	Facility		$4,846.16	$6,142.31	$7,227.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,222.71 / $2,848.83 / $3,828.85	Professional		$2,222.71	$2,848.83	$3,828.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,517.00 / $7,385.00	Facility		$1,689.00	$5,517.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,502.49 / $2,288.71 / $3,683.81	Professional		$1,502.49	$2,288.71	$3,683.81