Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $4,570.88 / $7,943.28	Facility		$2,754.23	$4,570.88	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,137.96 / $4,786.30	Professional		$1,659.59	$2,137.96	$4,786.30
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 $1,230.27 / $3,235.94 / $4,786.30	Professional		$1,230.27	$3,235.94	$4,786.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,548.13 / $4,365.16	Professional		$2,570.40	$3,548.13	$4,365.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,570.40 / $4,365.16	Facility		$1,819.70	$2,570.40	$4,365.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,311.31 / $4,570.88	Professional		$2,754.23	$3,311.31	$4,570.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,548.13 / $3,801.89	Facility		$2,630.27	$3,548.13	$3,801.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,511.89 / $4,265.80	Facility		$1,698.24	$2,511.89	$4,265.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $3,630.78 / $5,011.87	Professional		$79.43	$3,630.78	$5,011.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $9,549.93 / $9,549.93	Facility		$9,549.93	$9,549.93	$9,549.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,981.07 / $5,011.87	Professional		$3,388.44	$3,981.07	$5,011.87
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 $2,089.30 / $3,630.78 / $5,248.07	Professional		$2,089.30	$3,630.78	$5,248.07