Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,884.03 / $15,848.93	Facility		$2,187.76	$2,884.03	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,230.27 / $3,090.30	Professional		$977.24	$1,230.27	$3,090.30
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 / $3,019.95	Professional		$1,174.90	$1,949.84	$3,019.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,454.71 / $2,884.03	Professional		$1,862.09	$2,454.71	$2,884.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,621.81 / $2,691.53	Facility		$1,122.02	$1,621.81	$2,691.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,041.74 / $2,951.21	Professional		$1,621.81	$2,041.74	$2,951.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,137.96 / $2,344.23	Facility		$1,548.82	$2,137.96	$2,344.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,621.81 / $2,398.83	Facility		$1,122.02	$1,621.81	$2,398.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,137.96 / $3,019.95	Professional		$79.43	$2,137.96	$3,019.95
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 $1,778.28 / $2,344.23 / $3,311.31	Professional		$1,778.28	$2,344.23	$3,311.31
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 $1,412.54 / $2,137.96 / $3,019.95	Professional		$1,412.54	$2,137.96	$3,019.95