Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,365.16 / $7,943.28	Facility		$2,630.27	$4,365.16	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,041.74 / $4,786.30	Professional		$1,584.89	$2,041.74	$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 $660.69 / $3,090.30 / $4,570.88	Professional		$660.69	$3,090.30	$4,570.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,388.44 / $4,168.69	Professional		$2,454.71	$3,388.44	$4,168.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,454.71 / $4,265.80	Facility		$1,737.80	$2,454.71	$4,265.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,162.28 / $4,365.16	Professional		$2,630.27	$3,162.28	$4,365.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,388.44 / $3,630.78	Facility		$2,511.89	$3,388.44	$3,630.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,454.71 / $4,168.69	Facility		$1,659.59	$2,454.71	$4,168.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $3,467.37 / $4,786.30	Professional		$79.43	$3,467.37	$4,786.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $9,120.11 / $9,120.11	Facility		$9,120.11	$9,120.11	$9,120.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,801.89 / $4,786.30	Professional		$3,235.94	$3,801.89	$4,786.30
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 $1,995.26 / $3,467.37 / $5,011.87	Professional		$1,995.26	$3,467.37	$5,011.87