Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,548.13 / $15,848.93	Facility		$2,754.23	$3,548.13	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,659.59 / $4,365.16	Professional		$1,380.38	$1,659.59	$4,365.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,238.72 / $3,630.78	Professional		$1,548.82	$2,238.72	$3,630.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,454.71 / $2,818.38	Professional		$1,202.26	$2,454.71	$2,818.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,089.30 / $4,466.84	Facility		$1,412.54	$2,089.30	$4,466.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,290.87 / $3,548.13	Professional		$1,905.46	$2,290.87	$3,548.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,630.27 / $2,754.23	Facility		$1,905.46	$2,630.27	$2,754.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,089.30 / $3,388.44	Facility		$1,348.96	$2,089.30	$3,388.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,454.71 / $3,548.13	Professional		$79.43	$2,454.71	$3,548.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $12,302.69 / $14,454.40	Facility		$8,912.51	$12,302.69	$14,454.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,951.21 / $3,548.13	Professional		$2,511.89	$2,951.21	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $26,302.68	Facility		$2,137.96	$13,182.57	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,570.40 / $3,715.35	Professional		$1,698.24	$2,570.40	$3,715.35