Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,283.52 / $10,180.24 / $15,978.56	Facility		$2,283.52	$10,180.24	$15,978.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,072.81 / $1,451.34 / $2,945.63	Professional		$1,072.81	$1,451.34	$2,945.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,814.00 / $1,814.00 / $1,814.00	Facility		$1,814.00	$1,814.00	$1,814.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,163.09 / $1,934.51 / $3,013.52	Professional		$1,163.09	$1,934.51	$3,013.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,140.61 / $2,383.19 / $2,648.00	Professional		$1,140.61	$2,383.19	$2,648.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,183.08 / $2,052.19 / $3,654.27	Facility		$1,183.08	$2,052.19	$3,654.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,802.89 / $2,030.50 / $3,408.72	Professional		$1,802.89	$2,030.50	$3,408.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,582.38 / $2,180.17 / $2,586.92	Facility		$1,582.38	$2,180.17	$2,586.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,341.03 / $2,440.23 / $3,119.31	Facility		$1,341.03	$2,440.23	$3,119.31
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $424.37 / $424.37 / $424.37	Facility	80	$424.37	$424.37	$424.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,768.50 / $2,190.21 / $3,011.35	Professional		$1,768.50	$2,190.21	$3,011.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,678.59 / $12,937.69 / $16,102.64	Facility		$10,678.59	$12,937.69	$16,102.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,062.19 / $2,217.26 / $3,120.59	Professional		$2,062.19	$2,217.26	$3,120.59
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 $1,377.59 / $2,115.10 / $2,947.55	Professional		$1,377.59	$2,115.10	$2,947.55