Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $13,803.84 / $17,782.79	Facility		$2,951.21	$13,803.84	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,584.89 / $4,073.80	Professional		$1,348.96	$1,584.89	$4,073.80
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 $1,548.82 / $2,137.96 / $3,467.37	Professional		$1,548.82	$2,137.96	$3,467.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,344.23 / $2,691.53	Professional		$1,148.15	$2,344.23	$2,691.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,041.74 / $14,454.40	Facility		$1,348.96	$2,041.74	$14,454.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,344.23 / $3,388.44	Professional		$1,659.59	$2,344.23	$3,388.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,570.40 / $2,818.38	Facility		$2,137.96	$2,570.40	$2,818.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,041.74 / $3,715.35	Facility		$1,348.96	$2,041.74	$3,715.35
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $218.78 / $218.78 / $218.78	Facility	AS	$218.78	$218.78	$218.78
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 $10,715.19 / $15,135.61 / $19,498.45	Facility		$10,715.19	$15,135.61	$19,498.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,818.38 / $3,388.44	Professional		$2,398.83	$2,818.38	$3,388.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,378.01 / $23,988.33	Facility		$2,884.03	$17,378.01	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,630.27 / $3,801.89	Professional		$1,778.28	$2,630.27	$3,801.89