Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,754.23 / $7,943.28	Facility		$1,659.59	$2,754.23	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,230.27 / $2,951.21	Professional		$1,023.29	$1,230.27	$2,951.21
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 $562.34 / $1,949.84 / $2,884.03	Professional		$562.34	$1,949.84	$2,884.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,949.84 / $2,630.27	Professional		$1,412.54	$1,949.84	$2,630.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,584.89 / $2,630.27	Facility		$1,047.13	$1,584.89	$2,630.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,905.46 / $2,630.27	Professional		$1,584.89	$1,905.46	$2,630.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,089.30 / $2,187.76	Facility		$1,778.28	$2,089.30	$2,187.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,621.81 / $2,511.89	Facility		$1,023.29	$1,621.81	$2,511.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,137.96 / $2,951.21	Professional		$79.43	$2,137.96	$2,951.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $5,623.41	Facility		$5,623.41	$5,623.41	$5,623.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,290.87 / $2,951.21	Professional		$1,995.26	$2,290.87	$2,951.21
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 $1,318.26 / $2,089.30 / $3,019.95	Professional		$1,318.26	$2,089.30	$3,019.95