Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,715.35 / $7,943.28	Facility		$2,238.72	$3,715.35	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,698.24 / $4,073.80	Professional		$1,412.54	$1,698.24	$4,073.80
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 / $2,630.27 / $3,890.45	Professional		$1,288.25	$2,630.27	$3,890.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,884.03 / $3,548.13	Professional		$2,089.30	$2,884.03	$3,548.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,137.96 / $3,630.78	Facility		$1,479.11	$2,137.96	$3,630.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,754.23 / $3,715.35	Professional		$2,238.72	$2,754.23	$3,715.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,884.03 / $3,090.30	Facility		$2,137.96	$2,884.03	$3,090.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,089.30 / $3,467.37	Facility		$1,412.54	$2,089.30	$3,467.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,951.21 / $4,073.80	Professional		$79.43	$2,951.21	$4,073.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $7,585.78 / $7,585.78	Facility		$7,585.78	$7,585.78	$7,585.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,235.94 / $4,073.80	Professional		$2,818.38	$3,235.94	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $7,943.28 / $25,118.86	Facility		$2,818.38	$7,943.28	$25,118.86
United Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,951.21 / $4,265.80	Professional		$1,737.80	$2,951.21	$4,265.80