Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,174.71 / $2,747.00 / $7,920.26	Facility		$2,174.71	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,029.35 / $1,490.27 / $4,223.75	Professional		$1,029.35	$1,490.27	$4,223.75
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 $1,103.57 / $2,121.44 / $2,999.84	Professional		$1,103.57	$2,121.44	$2,999.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,756.26 / $2,306.13 / $2,832.37	Professional		$1,756.26	$2,306.13	$2,832.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,207.14 / $2,003.76 / $3,071.14	Facility		$1,207.14	$2,003.76	$3,071.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,692.00 / $1,940.60 / $3,235.77	Professional		$1,692.00	$1,940.60	$3,235.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,525.69 / $2,095.76 / $2,206.98	Facility		$1,525.69	$2,095.76	$2,206.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,279.42 / $2,272.36 / $3,071.14	Facility		$1,279.42	$2,272.36	$3,071.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,827.00 / $2,352.39 / $3,045.73	Professional		$1,827.00	$2,352.39	$3,045.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,660.77 / $5,660.77 / $5,660.77	Facility		$5,660.77	$5,660.77	$5,660.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,017.91 / $2,557.79 / $3,108.75	Professional		$2,017.91	$2,557.79	$3,108.75
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 $1,613.14 / $2,375.50 / $3,399.12	Professional		$1,613.14	$2,375.50	$3,399.12