Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,630.78 / $7,943.28	Facility		$2,187.76	$3,630.78	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,659.59 / $3,890.45	Professional		$1,318.26	$1,659.59	$3,890.45
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 $562.34 / $2,570.40 / $3,801.89	Professional		$562.34	$2,570.40	$3,801.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,818.38 / $3,388.44	Professional		$2,089.30	$2,818.38	$3,388.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,995.26 / $3,467.37	Facility		$1,445.44	$1,995.26	$3,467.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,630.27 / $3,630.78	Professional		$2,089.30	$2,630.27	$3,630.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,754.23 / $2,951.21	Facility		$2,041.74	$2,754.23	$2,951.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,995.26 / $3,388.44	Facility		$1,380.38	$1,995.26	$3,388.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,884.03 / $3,981.07	Professional		$79.43	$2,884.03	$3,981.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $7,585.78 / $7,585.78	Facility		$7,585.78	$7,585.78	$7,585.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,090.30 / $3,981.07	Professional		$2,691.53	$3,090.30	$3,981.07
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 $1,584.89 / $2,818.38 / $4,073.80	Professional		$1,584.89	$2,818.38	$4,073.80