Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $6,165.95 / $7,943.28	Facility		$3,715.35	$6,165.95	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,884.03 / $6,760.83	Professional		$2,290.87	$2,884.03	$6,760.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $4,466.84 / $6,606.93	Professional		$1,412.54	$4,466.84	$6,606.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,786.30 / $5,888.44	Professional		$3,467.37	$4,786.30	$5,888.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,548.13 / $6,025.60	Facility		$2,511.89	$3,548.13	$6,025.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,570.88 / $6,165.95	Professional		$3,801.89	$4,570.88	$6,165.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $4,897.79 / $5,128.61	Facility		$3,630.78	$4,897.79	$5,128.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,548.13 / $5,754.40	Facility		$2,344.23	$3,548.13	$5,754.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $4,897.79 / $6,918.31	Professional		$79.43	$4,897.79	$6,918.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,182.57 / $13,182.57 / $13,182.57	Facility		$13,182.57	$13,182.57	$13,182.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $5,370.32 / $6,918.31	Professional		$4,677.35	$5,370.32	$6,918.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $7,585.78 / $31,622.78	Facility		$1,412.54	$7,585.78	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $4,897.79 / $7,079.46	Professional		$2,884.03	$4,897.79	$7,079.46