Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,235.94 / $7,943.28	Facility		$1,949.84	$3,235.94	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,479.11 / $3,467.37	Professional		$1,202.26	$1,479.11	$3,467.37
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 / $2,290.87 / $3,388.44	Professional		$660.69	$2,290.87	$3,388.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,511.89 / $3,019.95	Professional		$1,819.70	$2,511.89	$3,019.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,819.70 / $3,162.28	Facility		$1,288.25	$1,819.70	$3,162.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,398.83 / $3,090.30	Professional		$1,905.46	$2,398.83	$3,090.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,511.89 / $2,630.27	Facility		$1,949.84	$2,511.89	$2,630.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,819.70 / $3,019.95	Facility		$1,202.26	$1,819.70	$3,019.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,511.89 / $3,467.37	Professional		$79.43	$2,511.89	$3,467.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $7,079.46 / $7,079.46	Facility		$7,079.46	$7,079.46	$7,079.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,691.53 / $3,467.37	Professional		$2,398.83	$2,691.53	$3,467.37
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 $1,445.44 / $2,511.89 / $3,715.35	Professional		$1,445.44	$2,511.89	$3,715.35