Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,884.03 / $7,943.28	Facility		$2,238.72	$2,884.03	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,258.93 / $3,019.95	Professional		$1,023.29	$1,258.93	$3,019.95
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 $1,148.15 / $1,995.26 / $3,090.30	Professional		$1,148.15	$1,995.26	$3,090.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,187.76 / $2,691.53	Professional		$1,621.81	$2,187.76	$2,691.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,698.24 / $2,754.23	Facility		$1,096.48	$1,698.24	$2,754.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,995.26 / $2,884.03	Professional		$1,698.24	$1,995.26	$2,884.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,187.76 / $2,238.72	Facility		$1,819.70	$2,187.76	$2,238.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,698.24 / $2,454.71	Facility		$1,096.48	$1,698.24	$2,454.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,137.96 / $2,951.21	Professional		$79.43	$2,137.96	$2,951.21
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 / $2,290.87 / $3,388.44	Professional		$2,041.74	$2,290.87	$3,388.44
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 $1,479.11 / $2,187.76 / $3,019.95	Professional		$1,479.11	$2,187.76	$3,019.95