Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $4,570.88 / $7,943.28	Facility		$2,398.83	$4,570.88	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $5,011.87	Professional		$1,659.59	$2,089.30	$5,011.87
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 $1,862.09 / $3,235.94 / $5,128.61	Professional		$1,862.09	$3,235.94	$5,128.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $4,466.84	Professional		$2,884.03	$3,801.89	$4,466.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,754.23 / $4,365.16	Facility		$1,819.70	$2,754.23	$4,365.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,388.44 / $4,897.79	Professional		$2,754.23	$3,388.44	$4,897.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,548.13 / $3,801.89	Facility		$2,754.23	$3,548.13	$3,801.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,754.23 / $4,073.80	Facility		$1,819.70	$2,754.23	$4,073.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $3,548.13 / $5,011.87	Professional		$79.43	$3,548.13	$5,011.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $9,772.37 / $9,772.37	Facility		$9,772.37	$9,772.37	$9,772.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,890.45 / $5,495.41	Professional		$3,235.94	$3,890.45	$5,495.41
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 $2,454.71 / $3,630.78 / $5,128.61	Professional		$2,454.71	$3,630.78	$5,128.61