Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,162.28 / $7,943.28	Facility		$1,905.46	$3,162.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,445.44 / $3,467.37	Professional		$1,174.90	$1,445.44	$3,467.37
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 / $2,238.72 / $3,388.44	Professional		$758.58	$2,238.72	$3,388.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,570.40 / $3,090.30	Professional		$1,862.09	$2,570.40	$3,090.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,737.80 / $3,019.95	Facility		$1,258.93	$1,737.80	$3,019.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,290.87 / $3,162.28	Professional		$1,862.09	$2,290.87	$3,162.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,454.71 / $2,630.27	Facility		$1,778.28	$2,454.71	$2,630.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,737.80 / $2,951.21	Facility		$1,202.26	$1,737.80	$2,951.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,511.89 / $3,467.37	Professional		$79.43	$2,511.89	$3,467.37
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 $2,344.23 / $2,691.53 / $3,467.37	Professional		$2,344.23	$2,691.53	$3,467.37
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 / $2,454.71 / $3,548.13	Professional		$1,380.38	$2,454.71	$3,548.13