Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,548.13 / $13,803.84	Facility		$2,754.23	$3,548.13	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,445.44 / $3,548.13	Professional		$1,230.27	$1,445.44	$3,548.13
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 $1,445.44 / $2,454.71 / $3,801.89	Professional		$1,445.44	$2,454.71	$3,801.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,691.53 / $3,311.31	Professional		$1,995.26	$2,691.53	$3,311.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,089.30 / $3,467.37	Facility		$1,348.96	$2,089.30	$3,467.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,511.89 / $3,311.31	Professional		$2,041.74	$2,511.89	$3,311.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,691.53 / $2,818.38	Facility		$2,089.30	$2,691.53	$2,818.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,089.30 / $3,090.30	Facility		$1,348.96	$2,089.30	$3,090.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,630.27 / $3,630.78	Professional		$79.43	$2,630.27	$3,630.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $16,218.10 / $22,387.21	Facility		$6,456.54	$16,218.10	$22,387.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,818.38 / $4,073.80	Professional		$2,398.83	$2,818.38	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,782.79 / $25,703.96	Facility		$2,884.03	$17,782.79	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,691.53 / $3,715.35	Professional		$1,778.28	$2,691.53	$3,715.35