Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.59 / $4,962.67 / $15,341.00	Facility		$1,615.59	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,028.81 / $1,502.38 / $3,516.60	Professional		$1,028.81	$1,502.38	$3,516.60
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 $1,339.05 / $2,143.40 / $3,313.00	Professional		$1,339.05	$2,143.40	$3,313.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,061.17 / $2,421.19 / $2,896.47	Professional		$2,061.17	$2,421.19	$2,896.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,440.00 / $2,016.24 / $2,770.15	Facility		$1,440.00	$2,016.24	$2,770.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,716.60 / $1,976.11 / $2,964.17	Professional		$1,716.60	$1,976.11	$2,964.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,591.10 / $2,171.46 / $2,257.23	Facility		$1,591.10	$2,171.46	$2,257.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,492.94 / $2,148.40 / $3,230.12	Facility		$1,492.94	$2,148.40	$3,230.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,962.60 / $2,301.75 / $3,094.02	Professional		$1,962.60	$2,301.75	$3,094.02
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 $2,059.13 / $2,629.50 / $3,534.08	Professional		$2,059.13	$2,629.50	$3,534.08
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 $1,535.40 / $2,248.76 / $3,468.52	Professional		$1,535.40	$2,248.76	$3,468.52