Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $4,073.80 / $23,988.33	Facility		$3,162.28	$4,073.80	$23,988.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,778.28 / $4,365.16	Professional		$1,445.44	$1,778.28	$4,365.16
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 $1,621.81 / $2,818.38 / $4,365.16	Professional		$1,621.81	$2,818.38	$4,365.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,019.95 / $3,801.89	Professional		$2,290.87	$3,019.95	$3,801.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,454.71 / $3,890.45	Facility		$1,584.89	$2,454.71	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,884.03 / $4,073.80	Professional		$2,454.71	$2,884.03	$4,073.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,019.95 / $3,235.94	Facility		$2,238.72	$3,019.95	$3,235.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,454.71 / $3,467.37	Facility		$1,584.89	$2,454.71	$3,467.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $3,019.95 / $4,265.80	Professional		$79.43	$3,019.95	$4,265.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17,378.01 / $42,657.95 / $67,608.30	Facility		$17,378.01	$42,657.95	$67,608.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,311.31 / $4,466.84	Professional		$2,818.38	$3,311.31	$4,466.84
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $26,302.68 / $56,234.13	Facility		$3,311.31	$26,302.68	$56,234.13
United Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,090.30 / $4,365.16	Professional		$2,089.30	$3,090.30	$4,365.16