Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,951.21 / $7,943.28	Facility		$1,778.28	$2,951.21	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,348.96 / $3,235.94	Professional		$1,071.52	$1,348.96	$3,235.94
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 / $2,089.30 / $3,090.30	Professional		$660.69	$2,089.30	$3,090.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,290.87 / $2,818.38	Professional		$1,698.24	$2,290.87	$2,818.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,659.59 / $2,818.38	Facility		$1,174.90	$1,659.59	$2,818.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,137.96 / $2,951.21	Professional		$1,778.28	$2,137.96	$2,951.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,290.87 / $2,454.71	Facility		$1,698.24	$2,290.87	$2,454.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,659.59 / $2,754.23	Facility		$1,122.02	$1,659.59	$2,754.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,344.23 / $3,235.94	Professional		$79.43	$2,344.23	$3,235.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,165.95	Facility		$6,165.95	$6,165.95	$6,165.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,570.40 / $3,235.94	Professional		$2,187.76	$2,570.40	$3,235.94
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 $1,348.96 / $2,290.87 / $3,388.44	Professional		$1,348.96	$2,290.87	$3,388.44