Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,982.59 / $5,463.40 / $7,920.26	Facility		$4,982.59	$5,463.40	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,262.44 / $3,405.09 / $9,517.64	Professional		$2,262.44	$3,405.09	$9,517.64
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 $2,542.23 / $4,805.24 / $7,011.62	Professional		$2,542.23	$4,805.24	$7,011.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,999.18 / $5,251.29 / $6,410.12	Professional		$3,999.18	$5,251.29	$6,410.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,749.17 / $4,547.10 / $7,029.01	Facility		$2,749.17	$4,547.10	$7,029.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,871.41 / $4,590.47 / $7,507.92	Professional		$3,871.41	$4,590.47	$7,507.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,389.90 / $4,871.72 / $5,120.81	Facility		$3,389.90	$4,871.72	$5,120.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,874.25 / $5,132.13 / $7,029.01	Facility		$2,874.25	$5,132.13	$7,029.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,263.99 / $5,502.67 / $7,172.50	Professional		$4,263.99	$5,502.67	$7,172.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,257.54 / $13,257.54 / $13,257.54	Facility		$13,257.54	$13,257.54	$13,257.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,644.09 / $5,934.79 / $7,172.19	Professional		$4,644.09	$5,934.79	$7,172.19
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 $3,792.87 / $5,304.41 / $8,033.49	Professional		$3,792.87	$5,304.41	$8,033.49