Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,754.23 / $13,182.57	Facility		$2,089.30	$2,754.23	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,258.93 / $2,754.23	Professional		$977.24	$1,258.93	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,698.24 / $2,754.23	Professional		$1,148.15	$1,698.24	$2,754.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,949.84 / $2,238.72	Professional		$977.24	$1,949.84	$2,238.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,584.89 / $2,754.23	Facility		$1,071.52	$1,584.89	$2,754.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,737.80 / $2,691.53	Professional		$1,412.54	$1,737.80	$2,691.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,905.46 / $2,089.30	Facility		$1,380.38	$1,905.46	$2,089.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,513.56 / $2,344.23	Facility		$1,023.29	$1,513.56	$2,344.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,778.28 / $2,691.53	Professional		$79.43	$1,778.28	$2,691.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $12,302.69 / $14,454.40	Facility		$8,912.51	$12,302.69	$14,454.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,238.72 / $2,754.23	Professional		$1,905.46	$2,238.72	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $26,302.68	Facility		$2,137.96	$13,182.57	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,819.70 / $2,754.23	Professional		$1,202.26	$1,819.70	$2,754.23