Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,311.31 / $9,549.93	Facility		$1,995.26	$3,311.31	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,659.59 / $3,548.13	Professional		$512.86	$1,659.59	$3,548.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $6,165.95	Facility		$3,467.37	$3,467.37	$6,165.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,344.23 / $3,890.45	Professional		$1,258.93	$2,344.23	$3,890.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $4,570.88 / $5,623.41	Professional		$2,137.96	$4,570.88	$5,623.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,137.96 / $2,290.87	Facility		$2,089.30	$2,137.96	$2,290.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,454.71 / $3,019.95	Professional		$1,819.70	$2,454.71	$3,019.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $4,073.80	Facility		$2,137.96	$2,137.96	$4,073.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,951.21 / $5,623.41	Facility		$1,479.11	$2,951.21	$5,623.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $2,344.23 / $3,090.30	Professional		$851.14	$2,344.23	$3,090.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $6,309.57 / $8,511.38	Facility		$3,235.94	$6,309.57	$8,511.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,819.70 / $2,570.40	Professional		$602.56	$1,819.70	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $3,467.37	Facility		$2,570.40	$2,570.40	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $891.25 / $2,570.40	Professional		$251.19	$891.25	$2,570.40