Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,288.30 / $2,796.89 / $7,920.26	Facility		$2,288.30	$2,796.89	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,025.31 / $1,483.68 / $4,109.82	Professional		$1,025.31	$1,483.68	$4,109.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $1,664.70	Facility		$1,664.70	$1,664.70	$1,664.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,159.88 / $2,192.25 / $3,226.28	Professional		$1,159.88	$2,192.25	$3,226.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,824.75 / $2,396.07 / $2,930.22	Professional		$1,824.75	$2,396.07	$2,930.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,248.92 / $1,967.19 / $3,180.36	Facility		$1,248.92	$1,967.19	$3,180.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,719.00 / $2,044.72 / $3,427.35	Professional		$1,719.00	$2,044.72	$3,427.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,523.58 / $2,218.37 / $2,337.63	Facility		$1,523.58	$2,218.37	$2,337.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,230.45 / $2,280.80 / $3,180.36	Facility		$1,230.45	$2,280.80	$3,180.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,940.48 / $2,518.65 / $3,300.30	Professional		$1,940.48	$2,518.65	$3,300.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,960.67 / $5,960.67 / $5,960.67	Facility		$5,960.67	$5,960.67	$5,960.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,136.62 / $2,723.16 / $3,291.62	Professional		$2,136.62	$2,723.16	$3,291.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,345.00 / $7,664.00 / $31,303.00	Facility		$1,345.00	$7,664.00	$31,303.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,637.29 / $2,343.23 / $3,625.90	Professional		$1,637.29	$2,343.23	$3,625.90