Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $5,248.07 / $7,943.28	Facility		$3,162.28	$5,248.07	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,454.71 / $5,623.41	Professional		$1,949.84	$2,454.71	$5,623.41
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 / $3,715.35 / $5,495.41	Professional		$660.69	$3,715.35	$5,495.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,981.07 / $4,897.79	Professional		$2,884.03	$3,981.07	$4,897.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,019.95 / $5,248.07	Facility		$2,089.30	$3,019.95	$5,248.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,890.45 / $5,128.61	Professional		$3,235.94	$3,890.45	$5,128.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $4,073.80 / $4,265.80	Facility		$3,467.37	$4,073.80	$4,265.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,019.95 / $5,011.87	Facility		$1,949.84	$3,019.95	$5,011.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $4,168.69 / $5,623.41	Professional		$79.43	$4,168.69	$5,623.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $11,220.18 / $11,220.18	Facility		$11,220.18	$11,220.18	$11,220.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,466.84 / $5,623.41	Professional		$3,981.07	$4,466.84	$5,623.41
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 $2,511.89 / $4,168.69 / $5,888.44	Professional		$2,511.89	$4,168.69	$5,888.44