Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,818.38 / $7,943.28	Facility		$1,584.89	$2,818.38	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,258.93 / $3,090.30	Professional		$1,023.29	$1,258.93	$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 $1,122.02 / $1,995.26 / $3,090.30	Professional		$1,122.02	$1,995.26	$3,090.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,238.72 / $2,691.53	Professional		$1,659.59	$2,238.72	$2,691.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,698.24 / $2,691.53	Facility		$1,096.48	$1,698.24	$2,691.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,995.26 / $2,884.03	Professional		$1,698.24	$1,995.26	$2,884.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,137.96 / $2,290.87	Facility		$1,778.28	$2,137.96	$2,290.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,698.24 / $2,398.83	Facility		$1,122.02	$1,698.24	$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 $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 $1,949.84 / $2,290.87 / $3,235.94	Professional		$1,949.84	$2,290.87	$3,235.94
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 $1,479.11 / $2,187.76 / $3,019.95	Professional		$1,479.11	$2,187.76	$3,019.95