Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,388.44 / $7,943.28	Facility		$2,041.74	$3,388.44	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,584.89 / $3,630.78	Professional		$1,288.25	$1,584.89	$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 $1,202.26 / $2,398.83 / $3,548.13	Professional		$1,202.26	$2,398.83	$3,548.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,691.53 / $3,311.31	Professional		$1,995.26	$2,691.53	$3,311.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,995.26 / $3,388.44	Facility		$1,380.38	$1,995.26	$3,388.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,570.40 / $3,388.44	Professional		$2,137.96	$2,570.40	$3,388.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,630.27 / $2,754.23	Facility		$2,041.74	$2,630.27	$2,754.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,041.74 / $3,235.94	Facility		$1,348.96	$2,041.74	$3,235.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,754.23 / $3,715.35	Professional		$79.43	$2,754.23	$3,715.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Facility		$7,244.36	$7,244.36	$7,244.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,951.21 / $3,715.35	Professional		$2,570.40	$2,951.21	$3,715.35
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 / $2,754.23 / $3,890.45	Professional		$1,621.81	$2,754.23	$3,890.45