Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $5,754.40 / $7,943.28	Facility		$3,019.95	$5,754.40	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,630.27 / $6,165.95	Professional		$2,089.30	$2,630.27	$6,165.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $4,073.80 / $6,309.57	Professional		$2,344.23	$4,073.80	$6,309.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,786.30 / $5,495.41	Professional		$3,548.13	$4,786.30	$5,495.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,467.37 / $5,495.41	Facility		$2,238.72	$3,467.37	$5,495.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,265.80 / $6,025.60	Professional		$3,467.37	$4,265.80	$6,025.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $4,466.84 / $4,786.30	Facility		$3,467.37	$4,466.84	$4,786.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,467.37 / $5,128.61	Facility		$2,187.76	$3,467.37	$5,128.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $4,466.84 / $6,309.57	Professional		$79.43	$4,466.84	$6,309.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,302.69 / $12,302.69 / $12,302.69	Facility		$12,302.69	$12,302.69	$12,302.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,897.79 / $7,079.46	Professional		$4,073.80	$4,897.79	$7,079.46
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 $3,090.30 / $4,570.88 / $6,456.54	Professional		$3,090.30	$4,570.88	$6,456.54