Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,073.80 / $7,943.28	Facility		$2,238.72	$4,073.80	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,819.70 / $4,466.84	Professional		$1,479.11	$1,819.70	$4,466.84
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 / $2,884.03 / $4,466.84	Professional		$1,621.81	$2,884.03	$4,466.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,090.30 / $3,890.45	Professional		$2,344.23	$3,090.30	$3,890.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,454.71 / $3,801.89	Facility		$1,584.89	$2,454.71	$3,801.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,884.03 / $4,168.69	Professional		$2,398.83	$2,884.03	$4,168.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,090.30 / $3,235.94	Facility		$2,630.27	$3,090.30	$3,235.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,454.71 / $3,548.13	Facility		$1,621.81	$2,454.71	$3,548.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $3,090.30 / $4,365.16	Professional		$79.43	$3,090.30	$4,365.16
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 $2,884.03 / $3,311.31 / $4,786.30	Professional		$2,884.03	$3,311.31	$4,786.30
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $26,302.68 / $75,857.76	Facility		$3,311.31	$26,302.68	$75,857.76
United Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,162.28 / $4,365.16	Professional		$2,137.96	$3,162.28	$4,365.16