Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $7,943.28 / $7,943.28	Facility		$1,096.48	$7,943.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,096.48 / $1,479.11	Professional		$741.31	$1,096.48	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $5,011.87	Facility		$2,818.38	$2,818.38	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $3,715.35 / $4,570.88	Professional		$1,737.80	$3,715.35	$4,570.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,737.80 / $1,737.80	Facility		$1,548.82	$1,737.80	$1,737.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,089.30 / $2,454.71	Professional		$1,288.25	$2,089.30	$2,454.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,905.46 / $2,691.53	Facility		$1,584.89	$1,905.46	$2,691.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,398.83 / $4,570.88	Facility		$1,096.48	$2,398.83	$4,570.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,905.46 / $2,454.71	Professional		$79.43	$1,905.46	$2,454.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $4,570.88 / $6,309.57	Facility		$3,019.95	$4,570.88	$6,309.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,479.11 / $2,089.30	Professional		$1,380.38	$1,479.11	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,818.38	Facility		$2,089.30	$2,089.30	$2,818.38
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $1,348.96	Professional		$467.74	$467.74	$1,348.96