Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,142.64 / $4,962.67 / $15,341.00	Facility		$2,142.64	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $990.92 / $1,448.71 / $4,631.00	Professional		$990.92	$1,448.71	$4,631.00
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 $1,290.31 / $2,084.50 / $3,193.03	Professional		$1,290.31	$2,084.50	$3,193.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,986.70 / $2,333.56 / $2,791.81	Professional		$1,986.70	$2,333.56	$2,791.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,376.27 / $1,943.08 / $2,673.00	Facility		$1,376.27	$1,943.08	$2,673.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,672.80 / $1,904.49 / $2,856.74	Professional		$1,672.80	$1,904.49	$2,856.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,523.75 / $2,093.08 / $2,175.48	Facility		$1,523.75	$2,093.08	$2,175.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,448.71 / $2,071.66 / $3,114.73	Facility		$1,448.71	$2,071.66	$3,114.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,890.90 / $2,218.56 / $2,981.75	Professional		$1,890.90	$2,218.56	$2,981.75
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 $1,984.70 / $2,534.28 / $3,406.10	Professional		$1,984.70	$2,534.28	$3,406.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $22,956.00	Facility		$2,912.00	$16,268.00	$22,956.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,569.68 / $2,155.56 / $3,368.93	Professional		$1,569.68	$2,155.56	$3,368.93