Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,332.54 / $9,332.54	Facility		$1,995.26	$9,332.54	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,621.81 / $2,511.89	Professional		$1,122.02	$1,621.81	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $6,025.60	Facility		$3,388.44	$3,388.44	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,398.83 / $2,951.21	Professional		$2,089.30	$2,398.83	$2,951.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $4,466.84 / $5,370.32	Professional		$2,089.30	$4,466.84	$5,370.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Facility		$2,089.30	$2,089.30	$2,089.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,290.87 / $2,818.38	Professional		$2,089.30	$2,290.87	$2,818.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,884.03	Facility		$2,089.30	$2,089.30	$2,884.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,511.89 / $6,025.60	Facility		$1,995.26	$2,511.89	$6,025.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,290.87 / $2,884.03	Professional		$79.43	$2,290.87	$2,884.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,630.78 / $8,128.31	Facility		$3,090.30	$3,630.78	$8,128.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,905.46 / $2,511.89	Professional		$1,548.82	$1,905.46	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $3,311.31	Facility		$2,511.89	$2,511.89	$3,311.31
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $2,511.89	Professional		$870.96	$870.96	$2,511.89