Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,168.69 / $13,803.84	Facility		$3,311.31	$4,168.69	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,862.09 / $4,365.16	Professional		$1,513.56	$1,862.09	$4,365.16
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 $1,698.24 / $2,884.03 / $4,466.84	Professional		$1,698.24	$2,884.03	$4,466.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,162.28 / $3,890.45	Professional		$2,344.23	$3,162.28	$3,890.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,511.89 / $4,168.69	Facility		$1,548.82	$2,511.89	$4,168.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,951.21 / $3,981.07	Professional		$2,398.83	$2,951.21	$3,981.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,162.28 / $3,235.94	Facility		$2,398.83	$3,162.28	$3,235.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,511.89 / $3,630.78	Facility		$1,584.89	$2,511.89	$3,630.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $3,090.30 / $4,365.16	Professional		$79.43	$3,090.30	$4,365.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $8,128.31 / $20,892.96	Facility		$5,623.41	$8,128.31	$20,892.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,311.31 / $4,786.30	Professional		$2,884.03	$3,311.31	$4,786.30
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 $2,137.96 / $3,162.28 / $4,365.16	Professional		$2,137.96	$3,162.28	$4,365.16