Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $7,943.28 / $34,673.69	Facility		$2,187.76	$7,943.28	$34,673.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $3,019.95	Professional		$1,000.00	$1,230.27	$3,019.95
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 $1,122.02 / $1,995.26 / $3,019.95	Professional		$1,122.02	$1,995.26	$3,019.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,187.76 / $2,630.27	Professional		$1,621.81	$2,187.76	$2,630.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,698.24 / $2,754.23	Facility		$1,071.52	$1,698.24	$2,754.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,995.26 / $2,818.38	Professional		$1,659.59	$1,995.26	$2,818.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,137.96 / $2,238.72	Facility		$1,698.24	$2,137.96	$2,238.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,659.59 / $2,344.23	Facility		$1,096.48	$1,659.59	$2,344.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,089.30 / $2,951.21	Professional		$79.43	$2,089.30	$2,951.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $33,113.11 / $52,480.75	Facility		$13,489.63	$33,113.11	$52,480.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,238.72 / $3,311.31	Professional		$1,949.84	$2,238.72	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $56,234.13	Facility		$3,019.95	$20,892.96	$56,234.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,137.96 / $3,019.95	Professional		$1,445.44	$2,137.96	$3,019.95