Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $4,073.80 / $13,803.84	Facility		$3,235.94	$4,073.80	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,819.70 / $4,365.16	Professional		$1,445.44	$1,819.70	$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 $1,621.81 / $2,951.21 / $4,365.16	Professional		$1,621.81	$2,951.21	$4,365.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,090.30 / $3,801.89	Professional		$2,344.23	$3,090.30	$3,801.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,511.89 / $4,073.80	Facility		$1,548.82	$2,511.89	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,884.03 / $4,073.80	Professional		$2,398.83	$2,884.03	$4,073.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,090.30 / $3,162.28	Facility		$2,454.71	$3,090.30	$3,162.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,511.89 / $3,467.37	Facility		$1,548.82	$2,511.89	$3,467.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $3,019.95 / $4,265.80	Professional		$79.43	$3,019.95	$4,265.80
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 / $3,235.94 / $4,677.35	Professional		$2,818.38	$3,235.94	$4,677.35
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 / $3,090.30 / $4,365.16	Professional		$2,089.30	$3,090.30	$4,365.16