Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,515.12 / $4,962.67 / $15,341.00	Facility		$1,515.12	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $961.21 / $1,409.49 / $2,791.76	Professional		$961.21	$1,409.49	$2,791.76
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 $1,254.50 / $2,029.24 / $3,108.46	Professional		$1,254.50	$2,029.24	$3,108.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,934.12 / $2,271.26 / $2,717.92	Professional		$1,934.12	$2,271.26	$2,717.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,339.02 / $1,891.62 / $2,596.05	Facility		$1,339.02	$1,891.62	$2,596.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,647.60 / $1,853.26 / $2,779.89	Professional		$1,647.60	$1,853.26	$2,779.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,458.83 / $2,017.37 / $2,117.87	Facility		$1,458.83	$2,017.37	$2,117.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,378.54 / $2,015.57 / $3,030.40	Facility		$1,378.54	$2,015.57	$3,030.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,836.76 / $2,160.13 / $2,903.66	Professional		$1,836.76	$2,160.13	$2,903.66
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 $1,932.42 / $2,467.16 / $3,315.89	Professional		$1,932.42	$2,467.16	$3,315.89
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 $1,488.13 / $2,164.40 / $3,342.78	Professional		$1,488.13	$2,164.40	$3,342.78