Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,311.31 / $15,848.93	Facility		$2,511.89	$3,311.31	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,445.44 / $3,090.30	Professional		$1,174.90	$1,445.44	$3,090.30
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 $1,288.25 / $2,290.87 / $3,548.13	Professional		$1,288.25	$2,290.87	$3,548.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,511.89 / $3,019.95	Professional		$1,862.09	$2,511.89	$3,019.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,949.84 / $3,090.30	Facility		$1,258.93	$1,949.84	$3,090.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,290.87 / $3,090.30	Professional		$1,949.84	$2,290.87	$3,090.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,454.71 / $2,570.40	Facility		$1,949.84	$2,454.71	$2,570.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,949.84 / $2,754.23	Facility		$1,258.93	$1,949.84	$2,754.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,398.83 / $3,388.44	Professional		$79.43	$2,398.83	$3,388.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $16,595.87 / $26,915.35	Facility		$6,918.31	$16,595.87	$26,915.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,630.27 / $3,801.89	Professional		$2,238.72	$2,630.27	$3,801.89
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 $1,698.24 / $2,454.71 / $3,467.37	Professional		$1,698.24	$2,454.71	$3,467.37