Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,090.30 / $4,073.80	Facility		$2,187.76	$3,090.30	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,698.24 / $3,715.35	Professional		$1,202.26	$1,698.24	$3,715.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,570.40 / $4,073.80	Professional		$1,513.56	$2,570.40	$4,073.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,884.03 / $3,890.45	Professional		$1,995.26	$2,884.03	$3,890.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,238.72 / $3,630.78	Facility		$1,412.54	$2,238.72	$3,630.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,818.38 / $3,890.45	Professional		$2,041.74	$2,818.38	$3,890.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,090.30 / $3,467.37	Facility		$2,511.89	$3,090.30	$3,467.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,344.23 / $3,630.78	Facility		$1,412.54	$2,344.23	$3,630.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,818.38 / $3,981.07	Professional		$79.43	$2,818.38	$3,981.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $10,232.93 / $12,302.69	Facility		$7,413.10	$10,232.93	$12,302.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,951.21 / $4,073.80	Professional		$2,187.76	$2,951.21	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $16,218.10 / $23,988.33	Facility		$2,884.03	$16,218.10	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,818.38 / $3,981.07	Professional		$1,819.70	$2,818.38	$3,981.07