Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,522.61 / $3,048.47 / $7,920.26	Facility		$2,522.61	$3,048.47	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,069.39 / $1,622.61 / $3,915.20	Professional		$1,069.39	$1,622.61	$3,915.20
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 $1,436.52 / $2,409.83 / $3,665.05	Professional		$1,436.52	$2,409.83	$3,665.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,300.35 / $2,694.46 / $3,232.58	Professional		$2,300.35	$2,694.46	$3,232.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,472.22 / $2,222.64 / $2,833.05	Facility		$1,472.22	$2,222.64	$2,833.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,840.34 / $2,146.44 / $3,268.97	Professional		$1,840.34	$2,146.44	$3,268.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,595.94 / $2,206.98 / $2,497.09	Facility		$1,595.94	$2,206.98	$2,497.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,472.22 / $2,237.58 / $3,199.00	Facility		$1,472.22	$2,237.58	$3,199.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,136.86 / $2,553.98 / $3,466.94	Professional		$2,136.86	$2,553.98	$3,466.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,587.52 / $7,334.15 / $12,457.78	Facility		$2,587.52	$7,334.15	$12,457.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,292.83 / $2,908.92 / $3,909.62	Professional		$2,292.83	$2,908.92	$3,909.62
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 $1,728.72 / $2,475.96 / $3,862.19	Professional		$1,728.72	$2,475.96	$3,862.19