Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $4,466.84 / $13,803.84	Facility		$3,467.37	$4,466.84	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,949.84 / $4,677.35	Professional		$1,584.89	$1,949.84	$4,677.35
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 $1,737.80 / $3,090.30 / $4,786.30	Professional		$1,737.80	$3,090.30	$4,786.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,235.94 / $4,073.80	Professional		$2,454.71	$3,235.94	$4,073.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,630.27 / $4,365.16	Facility		$1,698.24	$2,630.27	$4,365.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,019.95 / $4,466.84	Professional		$2,570.40	$3,019.95	$4,466.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,388.44 / $3,467.37	Facility		$2,691.53	$3,388.44	$3,467.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,630.27 / $3,715.35	Facility		$1,737.80	$2,630.27	$3,715.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $3,311.31 / $4,570.88	Professional		$79.43	$3,311.31	$4,570.88
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 $3,090.30 / $3,548.13 / $5,128.61	Professional		$3,090.30	$3,548.13	$5,128.61
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 $2,238.72 / $3,388.44 / $4,677.35	Professional		$2,238.72	$3,388.44	$4,677.35