Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,715.35 / $13,182.57	Facility		$2,884.03	$3,715.35	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,659.59 / $3,981.07	Professional		$1,318.26	$1,659.59	$3,981.07
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 $1,479.11 / $2,570.40 / $4,073.80	Professional		$1,479.11	$2,570.40	$4,073.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,818.38 / $3,467.37	Professional		$2,137.96	$2,818.38	$3,467.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,041.74 / $3,630.78	Facility		$1,318.26	$2,041.74	$3,630.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,630.27 / $3,801.89	Professional		$1,737.80	$2,630.27	$3,801.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,884.03 / $2,951.21	Facility		$1,905.46	$2,884.03	$2,951.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,041.74 / $3,162.28	Facility		$1,288.25	$2,041.74	$3,162.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,818.38 / $3,981.07	Professional		$79.43	$2,818.38	$3,981.07
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 $1,995.26 / $3,019.95 / $4,365.16	Professional		$1,995.26	$3,019.95	$4,365.16
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $31,622.78	Facility		$2,137.96	$13,182.57	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,818.38 / $3,981.07	Professional		$1,862.09	$2,818.38	$3,981.07