Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,868.34 / $3,483.45 / $7,920.26	Facility		$2,868.34	$3,483.45	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,291.69 / $1,953.78 / $5,548.55	Professional		$1,291.69	$1,953.78	$5,548.55
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 $1,468.22 / $2,801.55 / $4,018.45	Professional		$1,468.22	$2,801.55	$4,018.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,265.82 / $2,975.23 / $3,621.16	Professional		$2,265.82	$2,975.23	$3,621.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,465.83 / $2,583.36 / $4,105.96	Facility		$1,465.83	$2,583.36	$4,105.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,260.83 / $2,625.58 / $4,273.10	Professional		$2,260.83	$2,625.58	$4,273.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,961.71 / $2,760.18 / $2,914.50	Facility		$1,961.71	$2,760.18	$2,914.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,536.99 / $2,939.84 / $4,105.96	Facility		$1,536.99	$2,939.84	$4,105.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,434.23 / $3,142.88 / $4,114.45	Professional		$2,434.23	$3,142.88	$4,114.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,674.87 / $7,674.87 / $7,674.87	Facility		$7,674.87	$7,674.87	$7,674.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,663.70 / $3,395.18 / $4,103.62	Professional		$2,663.70	$3,395.18	$4,103.62
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 $2,087.89 / $3,022.60 / $4,564.85	Professional		$2,087.89	$3,022.60	$4,564.85