Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,951.21 / $28,840.32	Facility		$2,238.72	$2,951.21	$28,840.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,288.25 / $3,162.28	Professional		$1,047.13	$1,288.25	$3,162.28
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 $467.74 / $2,041.74 / $3,019.95	Professional		$467.74	$2,041.74	$3,019.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,290.87 / $2,754.23	Professional		$1,659.59	$2,290.87	$2,754.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,548.82 / $2,691.53	Facility		$1,122.02	$1,548.82	$2,691.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,041.74 / $2,818.38	Professional		$1,659.59	$2,041.74	$2,818.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,187.76 / $2,344.23	Facility		$1,584.89	$2,187.76	$2,344.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,584.89 / $2,630.27	Facility		$1,096.48	$1,584.89	$2,630.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,187.76 / $3,090.30	Professional		$79.43	$2,187.76	$3,090.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Facility		$5,754.40	$5,754.40	$5,754.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,398.83 / $3,162.28	Professional		$2,041.74	$2,398.83	$3,162.28
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 $1,230.27 / $2,187.76 / $3,162.28	Professional		$1,230.27	$2,187.76	$3,162.28