Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $4,570.88 / $7,943.28	Facility		$2,818.38	$4,570.88	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,137.96 / $5,011.87	Professional		$1,737.80	$2,137.96	$5,011.87
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 / $3,311.31 / $4,897.79	Professional		$660.69	$3,311.31	$4,897.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,548.13 / $4,365.16	Professional		$2,570.40	$3,548.13	$4,365.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,630.27 / $4,570.88	Facility		$1,819.70	$2,630.27	$4,570.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,388.44 / $4,466.84	Professional		$2,818.38	$3,388.44	$4,466.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,630.78 / $3,715.35	Facility		$2,691.53	$3,630.78	$3,715.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,691.53 / $4,365.16	Facility		$1,737.80	$2,691.53	$4,365.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $3,630.78 / $5,011.87	Professional		$79.43	$3,630.78	$5,011.87
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 $3,467.37 / $3,890.45 / $5,011.87	Professional		$3,467.37	$3,890.45	$5,011.87
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 $2,187.76 / $3,630.78 / $5,248.07	Professional		$2,187.76	$3,630.78	$5,248.07