Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,311.31 / $21,877.62	Facility		$2,570.40	$3,311.31	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,445.44 / $3,548.13	Professional		$1,174.90	$1,445.44	$3,548.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,290.87 / $3,548.13	Professional		$1,288.25	$2,290.87	$3,548.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,511.89 / $3,090.30	Professional		$1,905.46	$2,511.89	$3,090.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,949.84 / $3,162.28	Facility		$1,258.93	$1,949.84	$3,162.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,290.87 / $3,311.31	Professional		$1,949.84	$2,290.87	$3,311.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,454.71 / $2,570.40	Facility		$1,862.09	$2,454.71	$2,570.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,905.46 / $2,818.38	Facility		$1,288.25	$1,905.46	$2,818.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,398.83 / $3,388.44	Professional		$79.43	$2,398.83	$3,388.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,884.42 / $42,657.95 / $53,703.18	Facility		$33,884.42	$42,657.95	$53,703.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,630.27 / $3,801.89	Professional		$2,290.87	$2,630.27	$3,801.89
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 $1,698.24 / $2,454.71 / $3,467.37	Professional		$1,698.24	$2,454.71	$3,467.37