Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,910.49 / $4,962.67 / $15,341.00	Facility		$1,910.49	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $814.92 / $1,233.81 / $3,035.24	Professional		$814.92	$1,233.81	$3,035.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,045.33 / $1,814.52 / $2,855.73	Professional		$1,045.33	$1,814.52	$2,855.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,784.78 / $2,092.17 / $2,508.07	Professional		$1,784.78	$2,092.17	$2,508.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,184.48 / $1,680.48 / $2,413.96	Facility		$1,184.48	$1,680.48	$2,413.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,401.99 / $1,658.56 / $2,558.92	Professional		$1,401.99	$1,658.56	$2,558.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,318.35 / $1,782.96 / $1,945.68	Facility		$1,318.35	$1,782.96	$1,945.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,228.48 / $1,827.19 / $3,065.00	Facility		$1,228.48	$1,827.19	$3,065.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,594.39 / $1,945.50 / $2,666.74	Professional		$1,594.39	$1,945.50	$2,666.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,527.70 / $20,006.47 / $24,937.25	Facility		$15,527.70	$20,006.47	$24,937.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,773.75 / $2,266.57 / $3,046.30	Professional		$1,773.75	$2,266.57	$3,046.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,307.03 / $1,874.00 / $2,987.83	Professional		$1,307.03	$1,874.00	$2,987.83