Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,388.44 / $7,943.28	Facility		$1,778.28	$3,388.44	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,584.89 / $3,715.35	Professional		$1,174.90	$1,584.89	$3,715.35
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 $1,380.38 / $2,398.83 / $3,801.89	Professional		$1,380.38	$2,398.83	$3,801.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,884.03 / $3,311.31	Professional		$2,187.76	$2,884.03	$3,311.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,041.74 / $3,162.28	Facility		$1,348.96	$2,041.74	$3,162.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,454.71 / $3,630.78	Professional		$2,041.74	$2,454.71	$3,630.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,454.71 / $2,818.38	Facility		$1,995.26	$2,454.71	$2,818.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,041.74 / $2,951.21	Facility		$1,348.96	$2,041.74	$2,951.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,630.27 / $3,715.35	Professional		$79.43	$2,630.27	$3,715.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $7,079.46 / $7,079.46	Facility		$7,079.46	$7,079.46	$7,079.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,884.03 / $3,890.45	Professional		$2,290.87	$2,884.03	$3,890.45
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $25,703.96 / $52,480.75	Facility		$3,311.31	$25,703.96	$52,480.75
United Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,630.27 / $3,715.35	Professional		$1,659.59	$2,630.27	$3,715.35