Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,548.13 / $7,943.28	Facility		$2,187.76	$3,548.13	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,659.59 / $3,890.45	Professional		$1,348.96	$1,659.59	$3,890.45
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 $1,288.25 / $2,511.89 / $3,801.89	Professional		$1,288.25	$2,511.89	$3,801.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,818.38 / $3,467.37	Professional		$2,089.30	$2,818.38	$3,467.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,187.76 / $3,630.78	Facility		$1,513.56	$2,187.76	$3,630.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,691.53 / $3,630.78	Professional		$2,238.72	$2,691.53	$3,630.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,754.23 / $2,951.21	Facility		$2,398.83	$2,754.23	$2,951.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,187.76 / $3,467.37	Facility		$1,412.54	$2,187.76	$3,467.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,884.03 / $3,981.07	Professional		$79.43	$2,884.03	$3,981.07
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 / $3,981.07	Professional		$2,754.23	$3,090.30	$3,981.07
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 $1,778.28 / $2,884.03 / $4,073.80	Professional		$1,778.28	$2,884.03	$4,073.80