Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,801.89 / $7,943.28	Facility		$2,290.87	$3,801.89	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $4,168.69	Professional		$1,412.54	$1,778.28	$4,168.69
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 / $2,691.53 / $3,981.07	Professional		$660.69	$2,691.53	$3,981.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,884.03 / $3,630.78	Professional		$2,137.96	$2,884.03	$3,630.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,137.96 / $3,715.35	Facility		$1,513.56	$2,137.96	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,754.23 / $3,715.35	Professional		$2,344.23	$2,754.23	$3,715.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,019.95 / $3,090.30	Facility		$2,290.87	$3,019.95	$3,090.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,187.76 / $3,548.13	Facility		$1,412.54	$2,187.76	$3,548.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,951.21 / $4,168.69	Professional		$79.43	$2,951.21	$4,168.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $8,511.38 / $8,511.38	Facility		$8,511.38	$8,511.38	$8,511.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,235.94 / $4,168.69	Professional		$2,818.38	$3,235.94	$4,168.69
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 $1,778.28 / $3,019.95 / $4,365.16	Professional		$1,778.28	$3,019.95	$4,365.16