Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $4,365.16 / $15,848.93	Facility		$3,388.44	$4,365.16	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,905.46 / $4,570.88	Professional		$1,548.82	$1,905.46	$4,570.88
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 / $3,019.95 / $4,677.35	Professional		$1,698.24	$3,019.95	$4,677.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,162.28 / $4,073.80	Professional		$2,398.83	$3,162.28	$4,073.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,630.27 / $4,168.69	Facility		$1,698.24	$2,630.27	$4,168.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,951.21 / $4,365.16	Professional		$2,511.89	$2,951.21	$4,365.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,090.30 / $3,388.44	Facility		$2,511.89	$3,090.30	$3,388.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,570.40 / $3,630.78	Facility		$1,698.24	$2,570.40	$3,630.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $3,162.28 / $4,466.84	Professional		$79.43	$3,162.28	$4,466.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $13,489.63 / $21,877.62	Facility		$5,623.41	$13,489.63	$21,877.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,467.37 / $4,786.30	Professional		$2,818.38	$3,467.37	$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 $2,089.30 / $3,235.94 / $4,677.35	Professional		$2,089.30	$3,235.94	$4,677.35