Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,277.46 / $4,962.67 / $15,341.00	Facility		$2,277.46	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,059.33 / $1,539.43 / $3,602.79	Professional		$1,059.33	$1,539.43	$3,602.79
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 $1,372.44 / $2,209.88 / $3,394.63	Professional		$1,372.44	$2,209.88	$3,394.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,110.81 / $2,480.06 / $2,966.23	Professional		$2,110.81	$2,480.06	$2,966.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,390.02 / $2,065.21 / $2,844.95	Facility		$1,390.02	$2,065.21	$2,844.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,791.63 / $2,024.44 / $3,036.66	Professional		$1,791.63	$2,024.44	$3,036.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,612.42 / $2,226.41 / $2,312.84	Facility		$1,612.42	$2,226.41	$2,312.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,462.46 / $2,198.46 / $3,309.77	Facility		$1,462.46	$2,198.46	$3,309.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,996.50 / $2,357.44 / $3,169.97	Professional		$1,996.50	$2,357.44	$3,169.97
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 $2,109.55 / $2,694.29 / $3,621.15	Professional		$2,109.55	$2,694.29	$3,621.15
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 $1,605.52 / $2,259.65 / $3,553.48	Professional		$1,605.52	$2,259.65	$3,553.48