Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,818.38 / $15,848.93	Facility		$2,187.76	$2,818.38	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $2,884.03	Professional		$1,000.00	$1,230.27	$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 $1,174.90 / $1,949.84 / $2,951.21	Professional		$1,174.90	$1,949.84	$2,951.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,041.74 / $2,630.27	Professional		$1,513.56	$2,041.74	$2,630.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,737.80 / $2,951.21	Facility		$1,071.52	$1,737.80	$2,951.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,995.26 / $2,818.38	Professional		$1,659.59	$1,995.26	$2,818.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,137.96 / $2,290.87	Facility		$1,778.28	$2,137.96	$2,290.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,737.80 / $2,630.27	Facility		$1,096.48	$1,737.80	$2,630.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,089.30 / $2,951.21	Professional		$79.43	$2,089.30	$2,951.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $13,489.63 / $21,877.62	Facility		$5,623.41	$13,489.63	$21,877.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,238.72 / $3,311.31	Professional		$1,949.84	$2,238.72	$3,311.31
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 $1,445.44 / $2,187.76 / $2,951.21	Professional		$1,445.44	$2,187.76	$2,951.21