Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,466.84 / $19,054.61	Facility		$2,344.23	$4,466.84	$19,054.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $3,388.44	Professional		$1,000.00	$1,348.96	$3,388.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,905.46 / $3,162.28	Professional		$1,318.26	$1,905.46	$3,162.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $2,089.30 / $2,398.83	Professional		$1,023.29	$2,089.30	$2,398.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,819.70 / $13,489.63	Facility		$1,148.15	$1,819.70	$13,489.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,995.26 / $2,951.21	Professional		$1,513.56	$1,995.26	$2,951.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,238.72 / $2,344.23	Facility		$1,819.70	$2,238.72	$2,344.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,819.70 / $2,951.21	Facility		$1,148.15	$1,819.70	$2,951.21
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility	54	$1,380.38	$1,380.38	$1,380.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,089.30 / $3,019.95	Professional		$79.43	$2,089.30	$3,019.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $13,803.84 / $16,595.87	Facility		$10,715.19	$13,803.84	$16,595.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,511.89 / $3,019.95	Professional		$2,137.96	$2,511.89	$3,019.95
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 $1,445.44 / $2,187.76 / $3,162.28	Professional		$1,445.44	$2,187.76	$3,162.28