Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,570.40 / $13,182.57	Facility		$2,041.74	$2,570.40	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,122.02 / $2,818.38	Professional		$933.25	$1,122.02	$2,818.38
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 $1,047.13 / $1,778.28 / $2,818.38	Professional		$1,047.13	$1,778.28	$2,818.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,995.26 / $2,398.83	Professional		$1,513.56	$1,995.26	$2,398.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,513.56 / $2,570.40	Facility		$1,000.00	$1,513.56	$2,570.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,819.70 / $2,511.89	Professional		$1,479.11	$1,819.70	$2,511.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $2,041.74	Facility		$1,479.11	$1,949.84	$2,041.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,479.11 / $2,187.76	Facility		$1,000.00	$1,479.11	$2,187.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,949.84 / $2,754.23	Professional		$79.43	$1,949.84	$2,754.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $8,912.51 / $10,715.19	Facility		$6,606.93	$8,912.51	$10,715.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,089.30 / $3,019.95	Professional		$1,621.81	$2,089.30	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,754.40 / $12,589.25	Facility		$1,698.24	$5,754.40	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,995.26 / $2,754.23	Professional		$1,288.25	$1,995.26	$2,754.23