Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,884.03 / $10,964.78	Facility		$2,187.76	$2,884.03	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,412.54 / $3,090.30	Professional		$1,000.00	$1,412.54	$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 / $3,019.95	Professional		$1,122.02	$1,995.26	$3,019.95
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 $1,071.52 / $1,698.24 / $2,691.53	Facility		$1,071.52	$1,698.24	$2,691.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,949.84 / $2,818.38	Professional		$1,659.59	$1,949.84	$2,818.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,089.30 / $2,238.72	Facility		$1,778.28	$2,089.30	$2,238.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,698.24 / $2,344.23	Facility		$1,096.48	$1,698.24	$2,344.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,089.30 / $2,951.21	Professional		$79.43	$2,089.30	$2,951.21
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 $1,949.84 / $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 $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 $1,445.44 / $2,137.96 / $2,951.21	Professional		$1,445.44	$2,137.96	$2,951.21