Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,095.27 / $3,745.62 / $7,920.26	Facility		$3,095.27	$3,745.62	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,389.52 / $2,099.46 / $6,442.43	Professional		$1,389.52	$2,099.46	$6,442.43
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 $1,588.02 / $3,073.19 / $4,336.06	Professional		$1,588.02	$3,073.19	$4,336.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,433.73 / $3,195.71 / $3,878.71	Professional		$2,433.73	$3,195.71	$3,878.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,766.93 / $2,991.33 / $4,434.55	Facility		$1,766.93	$2,991.33	$4,434.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,475.42 / $2,869.36 / $4,603.17	Professional		$2,475.42	$2,869.36	$4,603.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,263.10 / $2,964.73 / $3,139.62	Facility		$2,263.10	$2,964.73	$3,139.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,803.17 / $3,233.52 / $4,434.55	Facility		$1,803.17	$3,233.52	$4,434.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,613.42 / $3,391.56 / $4,455.25	Professional		$2,613.42	$3,391.56	$4,455.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,354.52 / $8,354.52 / $8,354.52	Facility		$8,354.52	$8,354.52	$8,354.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,870.96 / $3,657.42 / $4,427.70	Professional		$2,870.96	$3,657.42	$4,427.70
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 $2,327.87 / $3,342.68 / $4,872.10	Professional		$2,327.87	$3,342.68	$4,872.10