Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,090.30 / $7,943.28	Facility		$1,862.09	$3,090.30	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,412.54 / $3,311.31	Professional		$1,122.02	$1,412.54	$3,311.31
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 $660.69 / $2,187.76 / $3,235.94	Professional		$660.69	$2,187.76	$3,235.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,398.83 / $2,884.03	Professional		$1,737.80	$2,398.83	$2,884.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,698.24 / $2,951.21	Facility		$1,230.27	$1,698.24	$2,951.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,238.72 / $3,090.30	Professional		$1,819.70	$2,238.72	$3,090.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,398.83 / $2,511.89	Facility		$1,778.28	$2,398.83	$2,511.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,698.24 / $2,884.03	Facility		$1,174.90	$1,698.24	$2,884.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,454.71 / $3,388.44	Professional		$79.43	$2,454.71	$3,388.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Facility		$6,456.54	$6,456.54	$6,456.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,630.27 / $3,388.44	Professional		$2,290.87	$2,630.27	$3,388.44
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 $1,380.38 / $2,398.83 / $3,467.37	Professional		$1,380.38	$2,398.83	$3,467.37