Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,398.83 / $15,848.93	Facility		$1,862.09	$2,398.83	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,174.90 / $3,467.37	Professional		$851.14	$1,174.90	$3,467.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $5,011.87	Facility		$2,344.23	$2,344.23	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,621.81 / $2,454.71	Professional		$562.34	$1,621.81	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,737.80 / $2,238.72	Professional		$1,288.25	$1,737.80	$2,238.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,318.26 / $2,187.76	Facility		$912.01	$1,318.26	$2,187.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,621.81 / $2,290.87	Professional		$1,318.26	$1,621.81	$2,290.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $1,862.09	Facility		$1,288.25	$1,698.24	$1,862.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,318.26 / $2,137.96	Facility		$851.14	$1,318.26	$2,137.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,819.70 / $2,511.89	Professional		$79.43	$1,819.70	$2,511.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $18,620.87 / $22,387.21	Facility		$13,803.84	$18,620.87	$22,387.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,949.84 / $2,511.89	Professional		$1,659.59	$1,949.84	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $16,218.10 / $23,988.33	Facility		$2,238.72	$16,218.10	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,737.80 / $2,630.27	Professional		$1,047.13	$1,737.80	$2,630.27