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 $1,258.93 / $1,621.81 / $3,801.89	Professional		$1,258.93	$1,621.81	$3,801.89
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 $1,380.38 / $2,187.76 / $3,715.35	Professional		$1,380.38	$2,187.76	$3,715.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,570.40 / $2,951.21	Professional		$1,288.25	$2,570.40	$2,951.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,137.96 / $4,570.88	Facility		$1,412.54	$2,137.96	$4,570.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,187.76 / $3,548.13	Professional		$1,862.09	$2,187.76	$3,548.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,398.83 / $2,754.23	Facility		$1,737.80	$2,398.83	$2,754.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,995.26 / $3,311.31	Facility		$1,318.26	$1,995.26	$3,311.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,290.87 / $3,467.37	Professional		$79.43	$2,290.87	$3,467.37
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 / $3,019.95 / $3,630.78	Professional		$2,511.89	$3,019.95	$3,630.78
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 $1,513.56 / $2,398.83 / $3,630.78	Professional		$1,513.56	$2,398.83	$3,630.78