Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $7,244.36 / $7,943.28	Facility		$3,890.45	$7,244.36	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,467.37 / $7,943.28	Professional		$2,691.53	$3,467.37	$7,943.28
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 $3,019.95 / $5,248.07 / $8,317.64	Professional		$3,019.95	$5,248.07	$8,317.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $6,025.60 / $6,918.31	Professional		$4,466.84	$6,025.60	$6,918.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $4,466.84 / $7,244.36	Facility		$2,884.03	$4,466.84	$7,244.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $5,495.41 / $7,762.47	Professional		$4,677.35	$5,495.41	$7,762.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $5,754.40 / $6,165.95	Facility		$4,570.88	$5,754.40	$6,165.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $4,466.84 / $6,606.93	Facility		$2,884.03	$4,466.84	$6,606.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $5,754.40 / $8,128.31	Professional		$79.43	$5,754.40	$8,128.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,848.93 / $15,848.93 / $15,848.93	Facility		$15,848.93	$15,848.93	$15,848.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $6,165.95 / $9,120.11	Professional		$5,495.41	$6,165.95	$9,120.11
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 $3,981.07 / $5,888.44 / $8,317.64	Professional		$3,981.07	$5,888.44	$8,317.64