Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,818.38 / $15,848.93	Facility		$2,187.76	$2,818.38	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $3,019.95	Professional		$1,000.00	$1,230.27	$3,019.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,949.84 / $3,019.95	Professional		$1,096.48	$1,949.84	$3,019.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,137.96 / $2,630.27	Professional		$1,621.81	$2,137.96	$2,630.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,698.24 / $2,754.23	Facility		$1,071.52	$1,698.24	$2,754.23
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 $1,737.80 / $2,089.30 / $2,187.76	Facility		$1,737.80	$2,089.30	$2,187.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,698.24 / $2,398.83	Facility		$1,096.48	$1,698.24	$2,398.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,041.74 / $2,951.21	Professional		$79.43	$2,041.74	$2,951.21
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 $1,949.84 / $2,238.72 / $3,235.94	Professional		$1,949.84	$2,238.72	$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 $1,445.44 / $2,089.30 / $2,951.21	Professional		$1,445.44	$2,089.30	$2,951.21