Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,754.23 / $13,803.84	Facility		$2,187.76	$2,754.23	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,258.93 / $2,951.21	Professional		$1,023.29	$1,258.93	$2,951.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,949.84 / $3,019.95	Professional		$1,122.02	$1,949.84	$3,019.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,041.74 / $2,570.40	Professional		$1,548.82	$2,041.74	$2,570.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,698.24 / $2,754.23	Facility		$1,047.13	$1,698.24	$2,754.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,949.84 / $2,818.38	Professional		$1,621.81	$1,949.84	$2,818.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,089.30 / $2,187.76	Facility		$1,698.24	$2,089.30	$2,187.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,698.24 / $2,630.27	Facility		$1,047.13	$1,698.24	$2,630.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,089.30 / $2,884.03	Professional		$79.43	$2,089.30	$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 $1,995.26 / $2,238.72 / $3,235.94	Professional		$1,995.26	$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 / $2,089.30 / $2,951.21	Professional		$1,412.54	$2,089.30	$2,951.21