Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,467.37 / $15,848.93	Facility		$2,691.53	$3,467.37	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $3,630.78	Professional		$1,202.26	$1,584.89	$3,630.78
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 / $2,137.96 / $3,548.13	Professional		$1,380.38	$2,137.96	$3,548.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,511.89 / $2,884.03	Professional		$1,258.93	$2,511.89	$2,884.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,089.30 / $4,365.16	Facility		$1,380.38	$2,089.30	$4,365.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,137.96 / $3,467.37	Professional		$1,778.28	$2,137.96	$3,467.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,344.23 / $2,691.53	Facility		$1,737.80	$2,344.23	$2,691.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,949.84 / $3,090.30	Facility		$1,258.93	$1,949.84	$3,090.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,238.72 / $3,388.44	Professional		$79.43	$2,238.72	$3,388.44
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 $2,454.71 / $2,884.03 / $3,467.37	Professional		$2,454.71	$2,884.03	$3,467.37
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 / $2,290.87 / $3,467.37	Professional		$1,513.56	$2,290.87	$3,467.37