Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,630.78 / $13,803.84	Facility		$2,818.38	$3,630.78	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $3,890.45	Professional		$1,202.26	$1,584.89	$3,890.45
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 $1,412.54 / $2,511.89 / $3,890.45	Professional		$1,412.54	$2,511.89	$3,890.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,691.53 / $3,388.44	Professional		$2,041.74	$2,691.53	$3,388.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,089.30 / $3,467.37	Facility		$1,348.96	$2,089.30	$3,467.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,454.71 / $3,630.78	Professional		$2,041.74	$2,454.71	$3,630.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,511.89 / $2,818.38	Facility		$1,905.46	$2,511.89	$2,818.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,089.30 / $3,019.95	Facility		$1,412.54	$2,089.30	$3,019.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,630.27 / $3,715.35	Professional		$79.43	$2,630.27	$3,715.35
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 $2,344.23 / $2,884.03 / $3,890.45	Professional		$2,344.23	$2,884.03	$3,890.45
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 / $2,630.27 / $3,801.89	Professional		$1,819.70	$2,630.27	$3,801.89