Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $7,943.28 / $13,803.84	Facility		$2,884.03	$7,943.28	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,659.59 / $3,890.45	Professional		$1,318.26	$1,659.59	$3,890.45
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 $1,479.11 / $2,511.89 / $3,890.45	Professional		$1,479.11	$2,511.89	$3,890.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,754.23 / $3,388.44	Professional		$2,089.30	$2,754.23	$3,388.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,187.76 / $3,630.78	Facility		$1,380.38	$2,187.76	$3,630.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,570.40 / $3,630.78	Professional		$2,089.30	$2,570.40	$3,630.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,754.23 / $2,818.38	Facility		$2,089.30	$2,754.23	$2,818.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,187.76 / $3,235.94	Facility		$1,380.38	$2,187.76	$3,235.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,691.53 / $3,801.89	Professional		$79.43	$2,691.53	$3,801.89
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 $2,511.89 / $2,884.03 / $4,168.69	Professional		$2,511.89	$2,884.03	$4,168.69
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 $1,819.70 / $2,754.23 / $3,801.89	Professional		$1,819.70	$2,754.23	$3,801.89