Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,311.31 / $7,943.28	Facility		$1,995.26	$3,311.31	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $3,630.78	Professional		$1,202.26	$1,548.82	$3,630.78
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 $660.69 / $2,344.23 / $3,467.37	Professional		$660.69	$2,344.23	$3,467.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,570.40 / $3,162.28	Professional		$1,905.46	$2,570.40	$3,162.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,862.09 / $3,162.28	Facility		$1,348.96	$1,862.09	$3,162.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,398.83 / $3,311.31	Professional		$1,995.26	$2,398.83	$3,311.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,570.40 / $2,754.23	Facility		$1,905.46	$2,570.40	$2,754.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,862.09 / $3,090.30	Facility		$1,258.93	$1,862.09	$3,090.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,630.27 / $3,630.78	Professional		$79.43	$2,630.27	$3,630.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Facility		$6,918.31	$6,918.31	$6,918.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,884.03 / $3,630.78	Professional		$2,454.71	$2,884.03	$3,630.78
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 $1,513.56 / $2,630.27 / $3,801.89	Professional		$1,513.56	$2,630.27	$3,801.89