Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,754.23 / $7,943.28	Facility		$1,548.82	$2,754.23	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,258.93 / $2,754.23	Professional		$954.99	$1,258.93	$2,754.23
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 / $1,949.84 / $3,019.95	Professional		$1,122.02	$1,949.84	$3,019.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,187.76 / $2,630.27	Professional		$1,659.59	$2,187.76	$2,630.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,621.81 / $2,398.83	Facility		$1,047.13	$1,621.81	$2,398.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,949.84 / $2,691.53	Professional		$1,548.82	$1,949.84	$2,691.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,949.84 / $2,238.72	Facility		$1,513.56	$1,949.84	$2,238.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,621.81 / $2,344.23	Facility		$1,023.29	$1,621.81	$2,344.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,041.74 / $2,884.03	Professional		$79.43	$2,041.74	$2,884.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $22,387.21 / $27,542.29	Facility		$16,982.44	$22,387.21	$27,542.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,238.72 / $3,090.30	Professional		$1,621.81	$2,238.72	$3,090.30
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 $1,288.25 / $1,995.26 / $2,951.21	Professional		$1,288.25	$1,995.26	$2,951.21