Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,548.13 / $15,848.93	Facility		$2,754.23	$3,548.13	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,621.81 / $3,715.35	Professional		$1,288.25	$1,621.81	$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 $1,445.44 / $2,511.89 / $3,801.89	Professional		$1,445.44	$2,511.89	$3,801.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,630.27 / $3,311.31	Professional		$1,949.84	$2,630.27	$3,311.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,290.87 / $3,801.89	Facility		$1,380.38	$2,290.87	$3,801.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,570.40 / $3,630.78	Professional		$2,089.30	$2,570.40	$3,630.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,691.53 / $2,818.38	Facility		$2,137.96	$2,691.53	$2,818.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,238.72 / $3,388.44	Facility		$1,380.38	$2,238.72	$3,388.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,691.53 / $3,801.89	Professional		$79.43	$2,691.53	$3,801.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $8,128.31 / $20,892.96	Facility		$5,623.41	$8,128.31	$20,892.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,884.03 / $4,168.69	Professional		$2,511.89	$2,884.03	$4,168.69
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 $1,819.70 / $2,691.53 / $3,715.35	Professional		$1,819.70	$2,691.53	$3,715.35