Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,162.28 / $13,182.57	Facility		$2,511.89	$3,162.28	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,412.54 / $3,388.44	Professional		$1,148.15	$1,412.54	$3,388.44
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 $1,000.00 / $2,238.72 / $3,311.31	Professional		$1,000.00	$2,238.72	$3,311.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,454.71 / $2,951.21	Professional		$1,778.28	$2,454.71	$2,951.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $3,090.30	Facility		$1,258.93	$1,659.59	$3,090.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,290.87 / $3,162.28	Professional		$1,905.46	$2,290.87	$3,162.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,454.71 / $2,570.40	Facility		$2,089.30	$2,454.71	$2,570.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,819.70 / $2,951.21	Facility		$1,202.26	$1,819.70	$2,951.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,511.89 / $3,467.37	Professional		$79.43	$2,511.89	$3,467.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $4,786.30 / $9,332.54	Facility		$1,905.46	$4,786.30	$9,332.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,754.23 / $3,467.37	Professional		$2,344.23	$2,754.23	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $4,466.84 / $25,118.86	Facility		$1,995.26	$4,466.84	$25,118.86
United Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,454.71 / $3,548.13	Professional		$1,445.44	$2,454.71	$3,548.13