Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,579.14 / $4,684.68 / $8,728.00	Facility		$2,579.14	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,066.83 / $1,630.80 / $4,068.27	Professional		$1,066.83	$1,630.80	$4,068.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,486.87 / $2,441.40 / $3,835.18	Professional		$1,486.87	$2,441.40	$3,835.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,380.69 / $2,800.61 / $3,345.49	Professional		$2,380.69	$2,800.61	$3,345.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,501.36 / $2,332.44 / $3,188.03	Facility		$1,501.36	$2,332.44	$3,188.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,921.68 / $2,224.06 / $3,431.40	Professional		$1,921.68	$2,224.06	$3,431.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,744.50 / $2,391.21 / $2,615.96	Facility		$1,744.50	$2,391.21	$2,615.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,654.25 / $2,440.96 / $3,327.71	Facility		$1,654.25	$2,440.96	$3,327.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,193.17 / $2,666.13 / $3,597.75	Professional		$2,193.17	$2,666.13	$3,597.75
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 $2,385.09 / $3,043.95 / $4,091.10	Professional		$2,385.09	$3,043.95	$4,091.10
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 $1,808.64 / $2,646.78 / $4,017.62	Professional		$1,808.64	$2,646.78	$4,017.62