Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,981.07 / $13,803.84	Facility		$3,090.30	$3,981.07	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,737.80 / $3,981.07	Professional		$1,412.54	$1,737.80	$3,981.07
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 $1,548.82 / $2,754.23 / $4,265.80	Professional		$1,548.82	$2,754.23	$4,265.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,019.95 / $3,630.78	Professional		$2,238.72	$3,019.95	$3,630.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,398.83 / $3,801.89	Facility		$1,513.56	$2,398.83	$3,801.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,754.23 / $3,981.07	Professional		$2,344.23	$2,754.23	$3,981.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,019.95 / $3,090.30	Facility		$2,398.83	$3,019.95	$3,090.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,344.23 / $3,311.31	Facility		$1,548.82	$2,344.23	$3,311.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,951.21 / $4,073.80	Professional		$79.43	$2,951.21	$4,073.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,943.28 / $12,302.69	Facility		$3,090.30	$7,943.28	$12,302.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,162.28 / $4,570.88	Professional		$2,754.23	$3,162.28	$4,570.88
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 $2,041.74 / $3,019.95 / $4,168.69	Professional		$2,041.74	$3,019.95	$4,168.69