Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $5,888.44 / $13,803.84	Facility		$4,570.88	$5,888.44	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,630.27 / $6,165.95	Professional		$2,089.30	$2,630.27	$6,165.95
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 $2,290.87 / $4,073.80 / $6,456.54	Professional		$2,290.87	$4,073.80	$6,456.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $4,265.80 / $5,495.41	Professional		$3,235.94	$4,265.80	$5,495.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,548.13 / $5,623.41	Facility		$2,290.87	$3,548.13	$5,623.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,073.80 / $5,888.44	Professional		$3,467.37	$4,073.80	$5,888.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $4,466.84 / $4,570.88	Facility		$3,630.78	$4,466.84	$4,570.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,548.13 / $5,011.87	Facility		$2,290.87	$3,548.13	$5,011.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $4,365.16 / $6,165.95	Professional		$79.43	$4,365.16	$6,165.95
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 $4,073.80 / $4,677.35 / $6,606.93	Professional		$4,073.80	$4,677.35	$6,606.93
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 $3,019.95 / $4,466.84 / $6,309.57	Professional		$3,019.95	$4,466.84	$6,309.57