Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,981.07 / $15,848.93	Facility		$3,090.30	$3,981.07	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $3,890.45	Professional		$1,380.38	$1,778.28	$3,890.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,691.53 / $4,168.69	Professional		$1,548.82	$2,691.53	$4,168.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,162.28 / $3,715.35	Professional		$2,344.23	$3,162.28	$3,715.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,238.72 / $3,715.35	Facility		$1,513.56	$2,238.72	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,691.53 / $3,801.89	Professional		$2,137.96	$2,691.53	$3,801.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,884.03 / $3,090.30	Facility		$2,187.76	$2,884.03	$3,090.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,187.76 / $3,311.31	Facility		$1,412.54	$2,187.76	$3,311.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,818.38 / $4,168.69	Professional		$79.43	$2,818.38	$4,168.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $10,232.93 / $12,302.69	Facility		$7,762.47	$10,232.93	$12,302.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,162.28 / $4,365.16	Professional		$2,511.89	$3,162.28	$4,365.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,754.40 / $14,125.38	Facility		$1,698.24	$5,754.40	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,884.03 / $4,168.69	Professional		$1,995.26	$2,884.03	$4,168.69