Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,344.23 / $15,848.93	Facility		$1,778.28	$2,344.23	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,000.00 / $2,454.71	Professional		$812.83	$1,000.00	$2,454.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,621.81 / $2,454.71	Professional		$933.25	$1,621.81	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,778.28 / $2,137.96	Professional		$1,348.96	$1,778.28	$2,137.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,380.38 / $2,187.76	Facility		$891.25	$1,380.38	$2,187.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,584.89 / $2,290.87	Professional		$1,348.96	$1,584.89	$2,290.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,698.24 / $1,819.70	Facility		$1,445.44	$1,698.24	$1,819.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,380.38 / $1,949.84	Facility		$891.25	$1,380.38	$1,949.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,698.24 / $2,398.83	Professional		$79.43	$1,698.24	$2,398.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $22,387.21 / $28,183.83	Facility		$16,982.44	$22,387.21	$28,183.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,862.09 / $2,630.27	Professional		$1,584.89	$1,862.09	$2,630.27
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 $1,174.90 / $1,737.80 / $2,454.71	Professional		$1,174.90	$1,737.80	$2,454.71