Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,715.35 / $15,848.93	Facility		$2,884.03	$3,715.35	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,548.82 / $3,981.07	Professional		$1,288.25	$1,548.82	$3,981.07
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 $1,445.44 / $2,454.71 / $3,801.89	Professional		$1,445.44	$2,454.71	$3,801.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,884.03 / $3,467.37	Professional		$2,187.76	$2,884.03	$3,467.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,137.96 / $3,467.37	Facility		$1,380.38	$2,137.96	$3,467.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,398.83 / $3,548.13	Professional		$1,995.26	$2,398.83	$3,548.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,630.27 / $2,884.03	Facility		$1,995.26	$2,630.27	$2,884.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,089.30 / $3,090.30	Facility		$1,318.26	$2,089.30	$3,090.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,630.27 / $3,801.89	Professional		$79.43	$2,630.27	$3,801.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $5,011.87 / $6,165.95	Facility		$3,801.89	$5,011.87	$6,165.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,951.21 / $4,073.80	Professional		$2,290.87	$2,951.21	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,495.41 / $7,413.10	Facility		$1,698.24	$5,495.41	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,691.53 / $3,801.89	Professional		$1,659.59	$2,691.53	$3,801.89