Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,019.95 / $13,803.84	Facility		$2,344.23	$3,019.95	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,230.27 / $2,951.21	Professional		$1,071.52	$1,230.27	$2,951.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,089.30 / $3,235.94	Professional		$1,230.27	$2,089.30	$3,235.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,290.87 / $2,818.38	Professional		$1,737.80	$2,290.87	$2,818.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,949.84 / $3,090.30	Facility		$1,148.15	$1,949.84	$3,090.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,137.96 / $3,019.95	Professional		$1,778.28	$2,137.96	$3,019.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,238.72 / $2,344.23	Facility		$1,905.46	$2,238.72	$2,344.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,905.46 / $2,818.38	Facility		$1,174.90	$1,905.46	$2,818.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,238.72 / $3,090.30	Professional		$79.43	$2,238.72	$3,090.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $22,387.21 / $28,183.83	Facility		$16,982.44	$22,387.21	$28,183.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,398.83 / $3,467.37	Professional		$2,089.30	$2,398.83	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $31,622.78	Facility		$3,019.95	$20,892.96	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,290.87 / $3,162.28	Professional		$1,548.82	$2,290.87	$3,162.28