Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,019.95 / $7,943.28	Facility		$2,344.23	$3,019.95	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,318.26 / $3,162.28	Professional		$1,096.48	$1,318.26	$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 $1,202.26 / $2,089.30 / $3,235.94	Professional		$1,202.26	$2,089.30	$3,235.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,290.87 / $2,818.38	Professional		$1,698.24	$2,290.87	$2,818.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,819.70 / $2,884.03	Facility		$1,148.15	$1,819.70	$2,884.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,089.30 / $2,818.38	Professional		$1,819.70	$2,089.30	$2,818.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,238.72 / $2,344.23	Facility		$1,778.28	$2,238.72	$2,344.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,778.28 / $2,630.27	Facility		$1,148.15	$1,778.28	$2,630.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,238.72 / $3,090.30	Professional		$79.43	$2,238.72	$3,090.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $6,760.83 / $14,454.40	Facility		$4,897.79	$6,760.83	$14,454.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,398.83 / $3,467.37	Professional		$1,949.84	$2,398.83	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $11,748.98 / $26,302.68	Facility		$2,137.96	$11,748.98	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,238.72 / $3,162.28	Professional		$1,479.11	$2,238.72	$3,162.28