Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,754.23 / $7,943.28	Facility		$1,621.81	$2,754.23	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,258.93 / $2,951.21	Professional		$1,000.00	$1,258.93	$2,951.21
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 $758.58 / $1,949.84 / $2,884.03	Professional		$758.58	$1,949.84	$2,884.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,137.96 / $2,570.40	Professional		$1,548.82	$2,137.96	$2,570.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,513.56 / $2,630.27	Facility		$1,096.48	$1,513.56	$2,630.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,995.26 / $2,691.53	Professional		$1,621.81	$1,995.26	$2,691.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,137.96 / $2,238.72	Facility		$1,584.89	$2,137.96	$2,238.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,548.82 / $2,570.40	Facility		$1,047.13	$1,548.82	$2,570.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,137.96 / $3,019.95	Professional		$79.43	$2,137.96	$3,019.95
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 / $2,344.23 / $3,019.95	Professional		$2,041.74	$2,344.23	$3,019.95
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 / $2,137.96 / $3,090.30	Professional		$1,230.27	$2,137.96	$3,090.30