Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,003.57 / $4,962.67 / $15,341.00	Facility		$2,003.57	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $929.28 / $1,355.64 / $3,163.29	Professional		$929.28	$1,355.64	$3,163.29
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 $1,208.14 / $1,946.07 / $2,979.64	Professional		$1,208.14	$1,946.07	$2,979.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,856.70 / $2,180.62 / $2,609.14	Professional		$1,856.70	$2,180.62	$2,609.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,287.85 / $1,815.98 / $2,463.30	Facility		$1,287.85	$1,815.98	$2,463.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,554.60 / $1,784.56 / $2,676.83	Professional		$1,554.60	$1,784.56	$2,676.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,414.26 / $1,934.96 / $2,035.24	Facility		$1,414.26	$1,934.96	$2,035.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,347.80 / $1,938.57 / $3,065.00	Facility		$1,347.80	$1,938.57	$3,065.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,771.34 / $2,060.81 / $2,795.41	Professional		$1,771.34	$2,060.81	$2,795.41
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 $1,862.92 / $2,364.92 / $3,178.47	Professional		$1,862.92	$2,364.92	$3,178.47
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 $1,457.11 / $2,024.37 / $3,152.17	Professional		$1,457.11	$2,024.37	$3,152.17