Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,511.89 / $13,803.84	Facility		$1,995.26	$2,511.89	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,148.15 / $2,818.38	Professional		$912.01	$1,148.15	$2,818.38
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 $1,047.13 / $1,778.28 / $2,818.38	Professional		$1,047.13	$1,778.28	$2,818.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,089.30 / $2,454.71	Professional		$1,548.82	$2,089.30	$2,454.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,659.59 / $2,754.23	Facility		$1,000.00	$1,659.59	$2,754.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,862.09 / $2,630.27	Professional		$1,698.24	$1,862.09	$2,630.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,949.84 / $2,041.74	Facility		$1,659.59	$1,949.84	$2,041.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,621.81 / $2,454.71	Facility		$1,000.00	$1,621.81	$2,454.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,949.84 / $2,754.23	Professional		$79.43	$1,949.84	$2,754.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $16,595.87 / $26,915.35	Facility		$6,918.31	$16,595.87	$26,915.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,089.30 / $3,019.95	Professional		$1,819.70	$2,089.30	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $31,622.78	Facility		$3,019.95	$20,892.96	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,995.26 / $2,818.38	Professional		$1,348.96	$1,995.26	$2,818.38