Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,168.69 / $13,182.57	Facility		$2,454.71	$4,168.69	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $3,388.44	Professional		$1,122.02	$1,318.26	$3,388.44
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 $1,230.27 / $2,187.76 / $3,388.44	Professional		$1,230.27	$2,187.76	$3,388.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,454.71 / $2,951.21	Professional		$1,819.70	$2,454.71	$2,951.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,905.46 / $3,090.30	Facility		$1,202.26	$1,905.46	$3,090.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,187.76 / $3,162.28	Professional		$1,862.09	$2,187.76	$3,162.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,344.23 / $2,454.71	Facility		$1,737.80	$2,344.23	$2,454.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,905.46 / $2,884.03	Facility		$1,202.26	$1,905.46	$2,884.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,290.87 / $3,235.94	Professional		$79.43	$2,290.87	$3,235.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,884.42 / $44,668.36 / $53,703.18	Facility		$33,884.42	$44,668.36	$53,703.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,511.89 / $3,630.78	Professional		$2,187.76	$2,511.89	$3,630.78
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 $1,621.81 / $2,344.23 / $3,311.31	Professional		$1,621.81	$2,344.23	$3,311.31