Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $3,801.89 / $13,182.57	Facility		$2,951.21	$3,801.89	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,659.59 / $4,073.80	Professional		$1,288.25	$1,659.59	$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 $1,513.56 / $2,630.27 / $4,168.69	Professional		$1,513.56	$2,630.27	$4,168.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,162.28 / $3,630.78	Professional		$2,398.83	$3,162.28	$3,630.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,238.72 / $3,548.13	Facility		$1,445.44	$2,238.72	$3,548.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,691.53 / $3,981.07	Professional		$2,137.96	$2,691.53	$3,981.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,630.27 / $3,090.30	Facility		$2,041.74	$2,630.27	$3,090.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,187.76 / $3,235.94	Facility		$1,412.54	$2,187.76	$3,235.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,818.38 / $3,981.07	Professional		$79.43	$2,818.38	$3,981.07
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 $2,511.89 / $3,162.28 / $4,265.80	Professional		$2,511.89	$3,162.28	$4,265.80
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 $1,778.28 / $2,754.23 / $4,073.80	Professional		$1,778.28	$2,754.23	$4,073.80