Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,162.28 / $15,848.93	Facility		$2,454.71	$3,162.28	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,412.54 / $3,388.44	Professional		$1,122.02	$1,412.54	$3,388.44
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 $1,258.93 / $2,238.72 / $3,467.37	Professional		$1,258.93	$2,238.72	$3,467.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,754.23 / $3,235.94	Professional		$2,089.30	$2,754.23	$3,235.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,905.46 / $3,019.95	Facility		$1,258.93	$1,905.46	$3,019.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,238.72 / $3,235.94	Professional		$1,905.46	$2,238.72	$3,235.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,398.83 / $2,511.89	Facility		$1,778.28	$2,398.83	$2,511.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,905.46 / $2,754.23	Facility		$1,230.27	$1,905.46	$2,754.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,344.23 / $3,311.31	Professional		$79.43	$2,344.23	$3,311.31
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 $2,238.72 / $2,570.40 / $3,630.78	Professional		$2,238.72	$2,570.40	$3,630.78
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 $1,621.81 / $2,398.83 / $3,388.44	Professional		$1,621.81	$2,398.83	$3,388.44