Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,818.38 / $13,182.57	Facility		$2,187.76	$2,818.38	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,288.25 / $2,951.21	Professional		$1,047.13	$1,288.25	$2,951.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,737.80 / $2,884.03	Professional		$1,174.90	$1,737.80	$2,884.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,949.84 / $2,238.72	Professional		$977.24	$1,949.84	$2,238.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,698.24 / $2,818.38	Facility		$1,096.48	$1,698.24	$2,818.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,778.28 / $2,754.23	Professional		$1,513.56	$1,778.28	$2,754.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,995.26 / $2,187.76	Facility		$1,548.82	$1,995.26	$2,187.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,659.59 / $2,570.40	Facility		$1,023.29	$1,659.59	$2,570.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,949.84 / $2,754.23	Professional		$79.43	$1,949.84	$2,754.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $7,413.10 / $8,912.51	Facility		$5,754.40	$7,413.10	$8,912.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,344.23 / $2,818.38	Professional		$1,995.26	$2,344.23	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $15,135.61 / $23,988.33	Facility		$2,884.03	$15,135.61	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,949.84 / $2,884.03	Professional		$1,288.25	$1,949.84	$2,884.03