Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,467.37 / $7,943.28	Facility		$1,819.70	$3,467.37	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,584.89 / $3,801.89	Professional		$1,258.93	$1,584.89	$3,801.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,454.71 / $3,801.89	Professional		$1,445.44	$2,454.71	$3,801.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,884.03 / $3,388.44	Professional		$2,187.76	$2,884.03	$3,388.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,089.30 / $3,311.31	Facility		$1,380.38	$2,089.30	$3,311.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,570.40 / $3,715.35	Professional		$2,137.96	$2,570.40	$3,715.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,691.53 / $2,884.03	Facility		$2,290.87	$2,691.53	$2,884.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,089.30 / $3,235.94	Facility		$1,380.38	$2,089.30	$3,235.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,691.53 / $3,801.89	Professional		$79.43	$2,691.53	$3,801.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Facility		$7,244.36	$7,244.36	$7,244.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,951.21 / $4,265.80	Professional		$2,511.89	$2,951.21	$4,265.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52
United Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,691.53 / $3,801.89	Professional		$1,819.70	$2,691.53	$3,801.89