Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,890.45 / $15,848.93	Facility		$3,019.95	$3,890.45	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,737.80 / $3,981.07	Professional		$1,380.38	$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 / $2,691.53 / $4,265.80	Professional		$1,548.82	$2,691.53	$4,265.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,951.21 / $3,630.78	Professional		$2,238.72	$2,951.21	$3,630.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,137.96 / $3,715.35	Facility		$1,380.38	$2,137.96	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,754.23 / $3,981.07	Professional		$1,659.59	$2,754.23	$3,981.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,951.21 / $3,090.30	Facility		$1,995.26	$2,951.21	$3,090.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,137.96 / $3,235.94	Facility		$1,288.25	$2,137.96	$3,235.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,884.03 / $4,073.80	Professional		$79.43	$2,884.03	$4,073.80
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 $2,089.30 / $3,162.28 / $4,365.16	Professional		$2,089.30	$3,162.28	$4,365.16
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $17,378.01 / $26,302.68	Facility		$3,019.95	$17,378.01	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,951.21 / $4,168.69	Professional		$1,862.09	$2,951.21	$4,168.69