Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,548.13 / $7,943.28	Facility		$2,137.96	$3,548.13	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,659.59 / $3,801.89	Professional		$1,318.26	$1,659.59	$3,801.89
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 $1,258.93 / $2,511.89 / $3,715.35	Professional		$1,258.93	$2,511.89	$3,715.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,818.38 / $3,388.44	Professional		$2,041.74	$2,818.38	$3,388.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,041.74 / $3,467.37	Facility		$1,412.54	$2,041.74	$3,467.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,691.53 / $3,548.13	Professional		$2,137.96	$2,691.53	$3,548.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,754.23 / $2,884.03	Facility		$2,137.96	$2,754.23	$2,884.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,995.26 / $3,311.31	Facility		$1,348.96	$1,995.26	$3,311.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,818.38 / $3,890.45	Professional		$79.43	$2,818.38	$3,890.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $7,762.47 / $7,762.47	Facility		$7,762.47	$7,762.47	$7,762.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,090.30 / $3,890.45	Professional		$2,754.23	$3,090.30	$3,890.45
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 $1,621.81 / $2,884.03 / $4,073.80	Professional		$1,621.81	$2,884.03	$4,073.80