Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,691.53 / $15,848.93	Facility		$2,041.74	$2,691.53	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,096.48 / $2,884.03	Professional		$891.25	$1,096.48	$2,884.03
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 $1,047.13 / $1,819.70 / $2,818.38	Professional		$1,047.13	$1,819.70	$2,818.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,089.30 / $2,511.89	Professional		$1,621.81	$2,089.30	$2,511.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $2,570.40	Facility		$1,023.29	$1,584.89	$2,570.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,737.80 / $2,630.27	Professional		$1,479.11	$1,737.80	$2,630.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,905.46 / $2,089.30	Facility		$1,348.96	$1,905.46	$2,089.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $2,238.72	Facility		$1,023.29	$1,584.89	$2,238.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,862.09 / $2,754.23	Professional		$79.43	$1,862.09	$2,754.23
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 $1,698.24 / $2,137.96 / $2,884.03	Professional		$1,698.24	$2,137.96	$2,884.03
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 $1,258.93 / $1,862.09 / $2,691.53	Professional		$1,258.93	$1,862.09	$2,691.53