Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $6,760.83 / $27,542.29	Facility		$5,128.61	$6,760.83	$27,542.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,162.28 / $7,585.78	Professional		$2,511.89	$3,162.28	$7,585.78
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 $758.58 / $4,786.30 / $7,079.46	Professional		$758.58	$4,786.30	$7,079.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $5,128.61 / $6,309.57	Professional		$3,715.35	$5,128.61	$6,309.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,890.45 / $6,606.93	Facility		$2,691.53	$3,890.45	$6,606.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $5,011.87 / $6,456.54	Professional		$4,073.80	$5,011.87	$6,456.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $5,248.07 / $5,495.41	Facility		$4,073.80	$5,248.07	$5,495.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,890.45 / $6,309.57	Facility		$2,511.89	$3,890.45	$6,309.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $5,370.32 / $7,413.10	Professional		$79.43	$5,370.32	$7,413.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,454.40 / $14,454.40 / $14,454.40	Facility		$14,454.40	$14,454.40	$14,454.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,754.40 / $7,413.10	Professional		$5,128.61	$5,754.40	$7,413.10
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 $3,235.94 / $5,370.32 / $7,762.47	Professional		$3,235.94	$5,370.32	$7,762.47