Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,467.37 / $13,182.57	Facility		$2,691.53	$3,467.37	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $3,630.78	Professional		$1,202.26	$1,513.56	$3,630.78
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 $1,318.26 / $2,344.23 / $3,715.35	Professional		$1,318.26	$2,344.23	$3,715.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,630.27 / $3,235.94	Professional		$1,949.84	$2,630.27	$3,235.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,862.09 / $3,235.94	Facility		$1,148.15	$1,862.09	$3,235.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,398.83 / $3,467.37	Professional		$1,230.27	$2,398.83	$3,467.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,570.40 / $2,691.53	Facility		$1,737.80	$2,570.40	$2,691.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,862.09 / $2,884.03	Facility		$1,096.48	$1,862.09	$2,884.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,511.89 / $3,630.78	Professional		$79.43	$2,511.89	$3,630.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $22,387.21 / $27,542.29	Facility		$16,982.44	$22,387.21	$27,542.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,754.23 / $3,981.07	Professional		$1,819.70	$2,754.23	$3,981.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,782.79 / $31,622.78	Facility		$2,884.03	$17,782.79	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,570.40 / $3,630.78	Professional		$1,584.89	$2,570.40	$3,630.78