Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $10,000.00 / $10,000.00	Facility		$2,137.96	$10,000.00	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,737.80 / $2,754.23	Professional		$1,202.26	$1,737.80	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $6,456.54	Facility		$3,630.78	$3,630.78	$6,456.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,570.40 / $3,162.28	Professional		$2,238.72	$2,570.40	$3,162.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $4,786.30 / $5,623.41	Professional		$2,238.72	$4,786.30	$5,623.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,454.71 / $3,019.95	Professional		$2,238.72	$2,454.71	$3,019.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $3,090.30	Facility		$2,238.72	$2,238.72	$3,090.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,691.53 / $5,888.44	Facility		$1,318.26	$2,691.53	$5,888.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,454.71 / $3,090.30	Professional		$79.43	$2,454.71	$3,090.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $6,606.93 / $8,709.64	Facility		$3,311.31	$6,606.93	$8,709.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,041.74 / $2,691.53	Professional		$1,659.59	$2,041.74	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $3,548.13	Facility		$2,691.53	$2,691.53	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $2,691.53	Professional		$933.25	$933.25	$2,691.53