Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $10,232.93 / $15,848.93	Facility		$2,290.87	$10,232.93	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,348.96 / $3,090.30	Professional		$1,071.52	$1,348.96	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,819.70 / $3,019.95	Professional		$1,288.25	$1,819.70	$3,019.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $2,041.74 / $2,290.87	Professional		$1,000.00	$2,041.74	$2,290.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,737.80 / $12,302.69	Facility		$1,148.15	$1,737.80	$12,302.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,995.26 / $2,884.03	Professional		$1,479.11	$1,995.26	$2,884.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,187.76 / $2,290.87	Facility		$1,862.09	$2,187.76	$2,290.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,737.80 / $2,884.03	Facility		$1,148.15	$1,737.80	$2,884.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,137.96 / $2,884.03	Professional		$79.43	$2,137.96	$2,884.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $12,882.50 / $16,595.87	Facility		$10,715.19	$12,882.50	$16,595.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,398.83 / $2,951.21	Professional		$2,041.74	$2,398.83	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $16,218.10 / $23,988.33	Facility		$2,884.03	$16,218.10	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,137.96 / $3,090.30	Professional		$1,445.44	$2,137.96	$3,090.30