Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,981.07 / $15,848.93	Facility		$3,162.28	$3,981.07	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $3,890.45	Professional		$1,412.54	$1,778.28	$3,890.45
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 $1,584.89 / $2,754.23 / $4,365.16	Professional		$1,584.89	$2,754.23	$4,365.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,019.95 / $3,715.35	Professional		$2,290.87	$3,019.95	$3,715.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,344.23 / $3,890.45	Facility		$1,548.82	$2,344.23	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,818.38 / $4,073.80	Professional		$2,344.23	$2,818.38	$4,073.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,090.30 / $3,162.28	Facility		$2,398.83	$3,090.30	$3,162.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,290.87 / $3,388.44	Facility		$1,548.82	$2,290.87	$3,388.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $3,019.95 / $4,168.69	Professional		$79.43	$3,019.95	$4,168.69
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 $2,818.38 / $3,235.94 / $4,786.30	Professional		$2,818.38	$3,235.94	$4,786.30
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 $2,089.30 / $3,090.30 / $4,265.80	Professional		$2,089.30	$3,090.30	$4,265.80