Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $5,248.07 / $15,848.93	Facility		$4,073.80	$5,248.07	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,344.23 / $5,128.61	Professional		$1,659.59	$2,344.23	$5,128.61
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 $2,137.96 / $3,548.13 / $5,623.41	Professional		$2,137.96	$3,548.13	$5,623.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,365.16 / $5,128.61	Professional		$3,311.31	$4,365.16	$5,128.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,019.95 / $5,011.87	Facility		$1,995.26	$3,019.95	$5,011.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,630.78 / $5,495.41	Professional		$2,818.38	$3,630.78	$5,495.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,981.07 / $4,265.80	Facility		$2,884.03	$3,981.07	$4,265.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,951.21 / $4,365.16	Facility		$1,995.26	$2,951.21	$4,365.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $3,890.45 / $5,754.40	Professional		$79.43	$3,890.45	$5,754.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $18,620.87 / $22,387.21	Facility		$13,803.84	$18,620.87	$22,387.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $4,365.16 / $6,165.95	Professional		$3,235.94	$4,365.16	$6,165.95
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 $2,570.40 / $3,890.45 / $5,623.41	Professional		$2,570.40	$3,890.45	$5,623.41