Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $7,943.28 / $16,595.87	Facility		$2,089.30	$7,943.28	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,318.26 / $4,073.80	Professional		$977.24	$1,318.26	$4,073.80
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 $1,071.52 / $1,905.46 / $3,019.95	Professional		$1,071.52	$1,905.46	$3,019.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,511.89 / $2,818.38	Professional		$1,905.46	$2,511.89	$2,818.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,698.24 / $2,884.03	Facility		$1,047.13	$1,698.24	$2,884.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,137.96 / $2,884.03	Professional		$1,737.80	$2,137.96	$2,884.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,089.30 / $2,187.76	Facility		$1,621.81	$2,089.30	$2,187.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,698.24 / $2,570.40	Facility		$1,047.13	$1,698.24	$2,570.40
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 $15,488.17 / $20,892.96 / $25,703.96	Facility		$15,488.17	$20,892.96	$25,703.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,238.72 / $3,235.94	Professional		$1,949.84	$2,238.72	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $16,218.10 / $23,988.33	Facility		$2,884.03	$16,218.10	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,041.74 / $2,884.03	Professional		$1,412.54	$2,041.74	$2,884.03