Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,388.44 / $13,182.57	Facility		$2,630.27	$3,388.44	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,479.11 / $3,630.78	Professional		$1,230.27	$1,479.11	$3,630.78
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 $1,348.96 / $2,344.23 / $3,630.78	Professional		$1,348.96	$2,344.23	$3,630.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,511.89 / $3,162.28	Professional		$1,905.46	$2,511.89	$3,162.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,949.84 / $3,311.31	Facility		$1,258.93	$1,949.84	$3,311.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,398.83 / $3,388.44	Professional		$1,949.84	$2,398.83	$3,388.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,570.40 / $2,691.53	Facility		$2,041.74	$2,570.40	$2,691.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,995.26 / $3,090.30	Facility		$1,288.25	$1,995.26	$3,090.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,511.89 / $3,548.13	Professional		$79.43	$2,511.89	$3,548.13
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 $2,398.83 / $2,691.53 / $3,981.07	Professional		$2,398.83	$2,691.53	$3,981.07
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 $1,737.80 / $2,570.40 / $3,630.78	Professional		$1,737.80	$2,570.40	$3,630.78