Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,162.28 / $7,943.28	Facility		$1,949.84	$3,162.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,513.56 / $3,467.37	Professional		$1,230.27	$1,513.56	$3,467.37
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 $1,096.48 / $2,290.87 / $3,388.44	Professional		$1,096.48	$2,290.87	$3,388.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,511.89 / $3,090.30	Professional		$1,862.09	$2,511.89	$3,090.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $3,162.28	Facility		$1,288.25	$1,698.24	$3,162.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,454.71 / $3,235.94	Professional		$1,995.26	$2,454.71	$3,235.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,511.89 / $2,630.27	Facility		$2,187.76	$2,511.89	$2,630.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,905.46 / $3,162.28	Facility		$1,258.93	$1,905.46	$3,162.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,570.40 / $3,630.78	Professional		$79.43	$2,570.40	$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 / $2,818.38 / $3,548.13	Professional		$2,454.71	$2,818.38	$3,548.13
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 $1,737.80 / $2,570.40 / $3,715.35	Professional		$1,737.80	$2,570.40	$3,715.35