Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $14,614.14 / $59,252.00	Facility		$2,747.00	$14,614.14	$59,252.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,129.91 / $1,727.94 / $4,560.05	Professional		$1,129.91	$1,727.94	$4,560.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $1,664.70	Facility		$1,664.70	$1,664.70	$1,664.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,267.99 / $2,400.82 / $3,538.32	Professional		$1,267.99	$2,400.82	$3,538.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,619.96 / $3,205.71	Professional		$1,995.26	$2,619.96	$3,205.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,387.27 / $2,266.67 / $3,460.82	Facility		$1,387.27	$2,266.67	$3,460.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,899.00 / $2,237.48 / $3,752.49	Professional		$1,899.00	$2,237.48	$3,752.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,747.25 / $2,420.04 / $2,559.40	Facility		$1,747.25	$2,420.04	$2,559.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,481.69 / $2,544.65 / $3,460.82	Facility		$1,481.69	$2,544.65	$3,460.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,123.51 / $2,759.95 / $3,619.50	Professional		$2,123.51	$2,759.95	$3,619.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,539.16 / $6,539.16 / $6,539.16	Facility		$6,539.16	$6,539.16	$6,539.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,339.57 / $2,981.51 / $3,604.29	Professional		$2,339.57	$2,981.51	$3,604.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,345.00 / $7,664.00 / $31,303.00	Facility		$1,345.00	$7,664.00	$31,303.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,837.01 / $2,654.12 / $3,970.34	Professional		$1,837.01	$2,654.12	$3,970.34