Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,981.07 / $19,054.61	Facility		$1,548.82	$3,981.07	$19,054.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,698.24 / $3,981.07	Professional		$741.31	$1,698.24	$3,981.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $2,187.76 / $4,786.30	Professional		$1,023.29	$2,187.76	$4,786.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,995.26 / $4,466.84	Professional		$1,318.26	$1,995.26	$4,466.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,862.09 / $4,570.88	Facility		$794.33	$1,862.09	$4,570.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,691.53 / $4,265.80	Professional		$1,288.25	$2,691.53	$4,265.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,467.37 / $4,365.16	Facility		$2,691.53	$3,467.37	$4,365.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,778.28 / $3,981.07	Facility		$831.76	$1,778.28	$3,981.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,041.74 / $4,570.88	Professional		$79.43	$2,041.74	$4,570.88
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 $1,445.44 / $2,454.71 / $4,570.88	Professional		$1,445.44	$2,454.71	$4,570.88
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 $1,174.90 / $2,238.72 / $4,677.35	Professional		$1,174.90	$2,238.72	$4,677.35