Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,630.27 / $13,182.57	Facility		$2,137.96	$2,630.27	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,202.26 / $2,754.23	Professional		$954.99	$1,202.26	$2,754.23
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 $1,174.90 / $1,905.46 / $2,884.03	Professional		$1,174.90	$1,905.46	$2,884.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $2,398.83	Professional		$1,479.11	$1,949.84	$2,398.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,698.24 / $2,884.03	Facility		$1,023.29	$1,698.24	$2,884.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,995.26 / $2,630.27	Professional		$1,584.89	$1,995.26	$2,630.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,995.26 / $2,238.72	Facility		$1,659.59	$1,995.26	$2,238.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,698.24 / $2,570.40	Facility		$1,023.29	$1,698.24	$2,570.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,995.26 / $2,754.23	Professional		$79.43	$1,995.26	$2,754.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $18,620.87 / $22,387.21	Facility		$13,489.63	$18,620.87	$22,387.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,187.76 / $3,090.30	Professional		$1,819.70	$2,187.76	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,232.93 / $25,703.96	Facility		$1,995.26	$10,232.93	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,137.96 / $2,951.21	Professional		$1,445.44	$2,137.96	$2,951.21