Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,884.03 / $13,803.84	Facility		$2,187.76	$2,884.03	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,258.93 / $2,754.23	Professional		$1,023.29	$1,258.93	$2,754.23
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 $1,148.15 / $1,995.26 / $3,090.30	Professional		$1,148.15	$1,995.26	$3,090.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,187.76 / $2,630.27	Professional		$1,659.59	$2,187.76	$2,630.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,737.80 / $2,691.53	Facility		$1,096.48	$1,737.80	$2,691.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,995.26 / $2,884.03	Professional		$1,698.24	$1,995.26	$2,884.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,137.96 / $2,238.72	Facility		$1,698.24	$2,137.96	$2,238.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,737.80 / $2,398.83	Facility		$1,096.48	$1,737.80	$2,398.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,089.30 / $3,019.95	Professional		$79.43	$2,089.30	$3,019.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,585.78 / $12,302.69	Facility		$3,090.30	$7,585.78	$12,302.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,290.87 / $3,311.31	Professional		$1,995.26	$2,290.87	$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 / $2,137.96 / $3,019.95	Professional		$1,479.11	$2,137.96	$3,019.95