Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,630.27 / $13,182.57	Facility		$2,041.74	$2,630.27	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,174.90 / $2,818.38	Professional		$912.01	$1,174.90	$2,818.38
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 $1,071.52 / $1,819.70 / $2,884.03	Professional		$1,071.52	$1,819.70	$2,884.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,041.74 / $2,454.71	Professional		$1,548.82	$2,041.74	$2,454.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,513.56 / $3,090.30	Facility		$977.24	$1,513.56	$3,090.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,862.09 / $2,630.27	Professional		$1,548.82	$1,862.09	$2,630.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,041.74 / $2,089.30	Facility		$1,548.82	$2,041.74	$2,089.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,621.81 / $2,454.71	Facility		$1,023.29	$1,621.81	$2,454.71
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 $1,819.70 / $2,089.30 / $3,090.30	Professional		$1,819.70	$2,089.30	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,549.93 / $12,882.50	Facility		$1,995.26	$9,549.93	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,995.26 / $2,818.38	Professional		$1,348.96	$1,995.26	$2,818.38