Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,691.53 / $7,943.28	Facility		$2,089.30	$2,691.53	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,288.25 / $3,162.28	Professional		$977.24	$1,288.25	$3,162.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,862.09 / $2,884.03	Professional		$1,047.13	$1,862.09	$2,884.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,995.26 / $2,511.89	Professional		$1,513.56	$1,995.26	$2,511.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $2,570.40	Facility		$1,023.29	$1,584.89	$2,570.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,905.46 / $2,691.53	Professional		$1,548.82	$1,905.46	$2,691.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,041.74 / $2,137.96	Facility		$1,548.82	$2,041.74	$2,137.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $2,511.89	Facility		$1,023.29	$1,584.89	$2,511.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,995.26 / $2,818.38	Professional		$79.43	$1,995.26	$2,818.38
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 $1,905.46 / $2,137.96 / $3,162.28	Professional		$1,905.46	$2,137.96	$3,162.28
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 $1,380.38 / $2,041.74 / $2,818.38	Professional		$1,380.38	$2,041.74	$2,818.38