Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,951.21 / $7,943.28	Facility		$2,290.87	$2,951.21	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,288.25 / $3,090.30	Professional		$1,047.13	$1,288.25	$3,090.30
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 $1,174.90 / $2,041.74 / $3,162.28	Professional		$1,174.90	$2,041.74	$3,162.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,238.72 / $2,754.23	Professional		$1,659.59	$2,238.72	$2,754.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,698.24 / $2,884.03	Facility		$1,096.48	$1,698.24	$2,884.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,041.74 / $2,951.21	Professional		$1,698.24	$2,041.74	$2,951.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,238.72 / $2,290.87	Facility		$1,698.24	$2,238.72	$2,290.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,659.59 / $2,630.27	Facility		$1,122.02	$1,659.59	$2,630.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,187.76 / $3,019.95	Professional		$79.43	$2,187.76	$3,019.95
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 $2,041.74 / $2,344.23 / $3,467.37	Professional		$2,041.74	$2,344.23	$3,467.37
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 $1,479.11 / $2,238.72 / $3,090.30	Professional		$1,479.11	$2,238.72	$3,090.30