Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,754.23 / $7,943.28	Facility		$2,137.96	$2,754.23	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $3,801.89	Professional		$1,000.00	$1,288.25	$3,801.89
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 $1,096.48 / $1,905.46 / $2,951.21	Professional		$1,096.48	$1,905.46	$2,951.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,089.30 / $2,570.40	Professional		$1,584.89	$2,089.30	$2,570.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,659.59 / $2,691.53	Facility		$1,047.13	$1,659.59	$2,691.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,949.84 / $2,754.23	Professional		$1,621.81	$1,949.84	$2,754.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $2,187.76	Facility		$1,659.59	$2,089.30	$2,187.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,659.59 / $2,398.83	Facility		$1,047.13	$1,659.59	$2,398.83
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 $1,995.26 / $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 / $17,782.79 / $38,018.94	Facility		$2,884.03	$17,782.79	$38,018.94
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