Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,570.40 / $13,803.84	Facility		$1,949.84	$2,570.40	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,122.02 / $2,754.23	Professional		$912.01	$1,122.02	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,778.28 / $2,754.23	Professional		$1,047.13	$1,778.28	$2,754.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $2,398.83	Professional		$1,479.11	$1,949.84	$2,398.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,548.82 / $2,511.89	Facility		$977.24	$1,548.82	$2,511.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,778.28 / $2,570.40	Professional		$1,548.82	$1,778.28	$2,570.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,905.46 / $1,995.26	Facility		$1,513.56	$1,905.46	$1,995.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,548.82 / $2,290.87	Facility		$1,000.00	$1,548.82	$2,290.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,905.46 / $2,630.27	Professional		$79.43	$1,905.46	$2,630.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,884.42 / $42,657.95 / $53,703.18	Facility		$33,884.42	$42,657.95	$53,703.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,041.74 / $2,951.21	Professional		$1,778.28	$2,041.74	$2,951.21
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 $1,318.26 / $1,949.84 / $2,691.53	Professional		$1,318.26	$1,949.84	$2,691.53