Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,467.37 / $7,943.28	Facility		$2,089.30	$3,467.37	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,621.81 / $3,801.89	Professional		$1,318.26	$1,621.81	$3,801.89
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 / $2,454.71 / $3,630.78	Professional		$660.69	$2,454.71	$3,630.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,818.38 / $3,388.44	Professional		$2,041.74	$2,818.38	$3,388.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,041.74 / $3,467.37	Facility		$1,412.54	$2,041.74	$3,467.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,630.27 / $3,467.37	Professional		$2,187.76	$2,630.27	$3,467.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,691.53 / $2,884.03	Facility		$2,089.30	$2,691.53	$2,884.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,041.74 / $3,235.94	Facility		$1,380.38	$2,041.74	$3,235.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,754.23 / $3,890.45	Professional		$79.43	$2,754.23	$3,890.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,019.95 / $3,890.45	Professional		$2,630.27	$3,019.95	$3,890.45
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 $1,698.24 / $2,754.23 / $3,981.07	Professional		$1,698.24	$2,754.23	$3,981.07