Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,467.37 / $15,848.93	Facility		$2,754.23	$3,467.37	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,548.82 / $3,715.35	Professional		$1,230.27	$1,548.82	$3,715.35
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 $1,348.96 / $2,398.83 / $3,715.35	Professional		$1,348.96	$2,398.83	$3,715.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,630.27 / $3,235.94	Professional		$1,995.26	$2,630.27	$3,235.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,041.74 / $3,467.37	Facility		$1,318.26	$2,041.74	$3,467.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,454.71 / $3,467.37	Professional		$1,995.26	$2,454.71	$3,467.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,570.40 / $2,691.53	Facility		$1,949.84	$2,570.40	$2,691.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,041.74 / $2,951.21	Facility		$1,318.26	$2,041.74	$2,951.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,570.40 / $3,630.78	Professional		$79.43	$2,570.40	$3,630.78
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 $2,398.83 / $2,754.23 / $3,890.45	Professional		$2,398.83	$2,754.23	$3,890.45
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 $1,737.80 / $2,630.27 / $3,715.35	Professional		$1,737.80	$2,630.27	$3,715.35