Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,890.45 / $15,848.93	Facility		$3,019.95	$3,890.45	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,698.24 / $4,168.69	Professional		$1,380.38	$1,698.24	$4,168.69
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 $1,584.89 / $2,691.53 / $4,265.80	Professional		$1,584.89	$2,691.53	$4,265.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,951.21 / $3,630.78	Professional		$2,187.76	$2,951.21	$3,630.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,238.72 / $4,897.79	Facility		$1,445.44	$2,238.72	$4,897.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,754.23 / $3,981.07	Professional		$2,344.23	$2,754.23	$3,981.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,019.95 / $3,090.30	Facility		$2,511.89	$3,019.95	$3,090.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,187.76 / $3,388.44	Facility		$1,445.44	$2,187.76	$3,388.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,951.21 / $4,168.69	Professional		$79.43	$2,951.21	$4,168.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,884.42 / $44,668.36 / $53,703.18	Facility		$33,884.42	$44,668.36	$53,703.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,235.94 / $4,570.88	Professional		$2,754.23	$3,235.94	$4,570.88
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $26,302.68 / $56,234.13	Facility		$3,311.31	$26,302.68	$56,234.13
United Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,019.95 / $4,168.69	Professional		$2,041.74	$3,019.95	$4,168.69