Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,311.31 / $7,943.28	Facility		$2,570.40	$3,311.31	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,479.11 / $3,548.13	Professional		$1,174.90	$1,479.11	$3,548.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,290.87 / $3,630.78	Professional		$1,348.96	$2,290.87	$3,630.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,511.89 / $3,090.30	Professional		$1,862.09	$2,511.89	$3,090.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,949.84 / $3,162.28	Facility		$1,230.27	$1,949.84	$3,162.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,238.72 / $3,311.31	Professional		$1,905.46	$2,238.72	$3,311.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,511.89 / $2,630.27	Facility		$1,949.84	$2,511.89	$2,630.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,949.84 / $2,884.03	Facility		$1,230.27	$1,949.84	$2,884.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,454.71 / $3,467.37	Professional		$79.43	$2,454.71	$3,467.37
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 $2,238.72 / $2,691.53 / $3,890.45	Professional		$2,238.72	$2,691.53	$3,890.45
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 $1,698.24 / $2,570.40 / $3,548.13	Professional		$1,698.24	$2,570.40	$3,548.13