Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,548.13 / $13,182.57	Facility		$2,818.38	$3,548.13	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,513.56 / $3,801.89	Professional		$1,258.93	$1,513.56	$3,801.89
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 $1,445.44 / $2,511.89 / $3,715.35	Professional		$1,445.44	$2,511.89	$3,715.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,818.38 / $3,311.31	Professional		$2,137.96	$2,818.38	$3,311.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,187.76 / $3,388.44	Facility		$1,380.38	$2,187.76	$3,388.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,398.83 / $3,630.78	Professional		$2,041.74	$2,398.83	$3,630.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,570.40 / $2,818.38	Facility		$2,089.30	$2,570.40	$2,818.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,137.96 / $3,019.95	Facility		$1,380.38	$2,137.96	$3,019.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,570.40 / $3,715.35	Professional		$79.43	$2,570.40	$3,715.35
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 $2,454.71 / $2,884.03 / $3,890.45	Professional		$2,454.71	$2,884.03	$3,890.45
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 $1,778.28 / $2,630.27 / $3,715.35	Professional		$1,778.28	$2,630.27	$3,715.35