Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $4,466.84 / $7,943.28	Facility		$2,754.23	$4,466.84	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,089.30 / $4,677.35	Professional		$1,698.24	$2,089.30	$4,677.35
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 / $3,235.94 / $4,786.30	Professional		$660.69	$3,235.94	$4,786.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,388.44 / $4,265.80	Professional		$2,454.71	$3,388.44	$4,265.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,630.27 / $4,466.84	Facility		$1,778.28	$2,630.27	$4,466.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,311.31 / $4,365.16	Professional		$2,691.53	$3,311.31	$4,365.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,467.37 / $3,630.78	Facility		$2,691.53	$3,467.37	$3,630.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,630.27 / $4,265.80	Facility		$1,698.24	$2,630.27	$4,265.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $3,548.13 / $4,897.79	Professional		$79.43	$3,548.13	$4,897.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $9,772.37 / $9,772.37	Facility		$9,772.37	$9,772.37	$9,772.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,890.45 / $4,897.79	Professional		$3,388.44	$3,890.45	$4,897.79
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 $2,137.96 / $3,630.78 / $5,128.61	Professional		$2,137.96	$3,630.78	$5,128.61