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 $1,047.13 / $1,258.93 / $3,235.94	Professional		$1,047.13	$1,258.93	$3,235.94
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 / $2,137.96 / $3,162.28	Professional		$1,230.27	$2,137.96	$3,162.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,454.71 / $2,818.38	Professional		$1,819.70	$2,454.71	$2,818.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,862.09 / $2,884.03	Facility		$1,174.90	$1,862.09	$2,884.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,041.74 / $3,090.30	Professional		$1,778.28	$2,041.74	$3,090.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,187.76 / $2,398.83	Facility		$1,819.70	$2,187.76	$2,398.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,862.09 / $2,691.53	Facility		$1,174.90	$1,862.09	$2,691.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,187.76 / $3,162.28	Professional		$79.43	$2,187.76	$3,162.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $10,232.93 / $12,302.69	Facility		$7,762.47	$10,232.93	$12,302.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,454.71 / $3,311.31	Professional		$2,041.74	$2,454.71	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $12,882.50 / $26,302.68	Facility		$2,137.96	$12,882.50	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,187.76 / $3,162.28	Professional		$1,479.11	$2,187.76	$3,162.28