Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,630.27 / $13,803.84	Facility		$2,041.74	$2,630.27	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,148.15 / $2,818.38	Professional		$933.25	$1,148.15	$2,818.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,862.09 / $2,818.38	Professional		$1,071.52	$1,862.09	$2,818.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,041.74 / $2,454.71	Professional		$1,513.56	$2,041.74	$2,454.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,621.81 / $2,570.40	Facility		$1,023.29	$1,621.81	$2,570.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,819.70 / $2,630.27	Professional		$1,548.82	$1,819.70	$2,630.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,949.84 / $2,089.30	Facility		$1,584.89	$1,949.84	$2,089.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,621.81 / $2,238.72	Facility		$1,023.29	$1,621.81	$2,238.72
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 $16,982.44 / $22,387.21 / $28,183.83	Facility		$16,982.44	$22,387.21	$28,183.83
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