Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,630.27 / $15,848.93	Facility		$2,041.74	$2,630.27	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,148.15 / $2,818.38	Professional		$933.25	$1,148.15	$2,818.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,819.70 / $2,818.38	Professional		$1,047.13	$1,819.70	$2,818.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,995.26 / $2,454.71	Professional		$1,513.56	$1,995.26	$2,454.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,584.89 / $2,570.40	Facility		$1,000.00	$1,584.89	$2,570.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,819.70 / $2,630.27	Professional		$1,513.56	$1,819.70	$2,630.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,949.84 / $2,041.74	Facility		$1,584.89	$1,949.84	$2,041.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $2,398.83	Facility		$1,023.29	$1,584.89	$2,398.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,905.46 / $2,691.53	Professional		$79.43	$1,905.46	$2,691.53
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 $1,819.70 / $2,041.74 / $3,019.95	Professional		$1,819.70	$2,041.74	$3,019.95
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 $1,318.26 / $1,949.84 / $2,754.23	Professional		$1,318.26	$1,949.84	$2,754.23