Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,691.53 / $15,848.93	Facility		$2,089.30	$2,691.53	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,174.90 / $2,884.03	Professional		$977.24	$1,174.90	$2,884.03
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 $1,122.02 / $1,905.46 / $2,818.38	Professional		$1,122.02	$1,905.46	$2,818.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,041.74 / $2,511.89	Professional		$1,548.82	$2,041.74	$2,511.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,698.24 / $2,818.38	Facility		$1,000.00	$1,698.24	$2,818.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,905.46 / $2,691.53	Professional		$1,584.89	$1,905.46	$2,691.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,041.74 / $2,187.76	Facility		$1,584.89	$2,041.74	$2,187.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,659.59 / $2,454.71	Facility		$1,047.13	$1,659.59	$2,454.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,995.26 / $2,818.38	Professional		$79.43	$1,995.26	$2,818.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $18,620.87 / $22,908.68	Facility		$11,220.18	$18,620.87	$22,908.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,137.96 / $3,090.30	Professional		$1,862.09	$2,137.96	$3,090.30
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 $1,348.96 / $2,041.74 / $2,818.38	Professional		$1,348.96	$2,041.74	$2,818.38