Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $4,570.88 / $23,988.33	Facility		$3,467.37	$4,570.88	$23,988.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,041.74 / $4,897.79	Professional		$1,621.81	$2,041.74	$4,897.79
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 $1,949.84 / $3,162.28 / $4,897.79	Professional		$1,949.84	$3,162.28	$4,897.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,801.89 / $4,365.16	Professional		$2,818.38	$3,801.89	$4,365.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,818.38 / $4,466.84	Facility		$1,778.28	$2,818.38	$4,466.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,311.31 / $4,786.30	Professional		$2,754.23	$3,311.31	$4,786.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,467.37 / $3,715.35	Facility		$2,691.53	$3,467.37	$3,715.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,754.23 / $3,981.07	Facility		$1,778.28	$2,754.23	$3,981.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $3,467.37 / $4,897.79	Professional		$79.43	$3,467.37	$4,897.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $33,113.11 / $52,480.75	Facility		$13,489.63	$33,113.11	$52,480.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,801.89 / $5,495.41	Professional		$3,235.94	$3,801.89	$5,495.41
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $56,234.13	Facility		$3,019.95	$20,892.96	$56,234.13
United Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,548.13 / $5,011.87	Professional		$2,398.83	$3,548.13	$5,011.87