Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,748.28 / $3,362.05 / $7,920.26	Facility		$2,748.28	$3,362.05	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,249.93 / $1,889.05 / $5,130.93	Professional		$1,249.93	$1,889.05	$5,130.93
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 $1,393.19 / $2,634.63 / $3,874.50	Professional		$1,393.19	$2,634.63	$3,874.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,192.23 / $2,878.60 / $3,522.09	Professional		$2,192.23	$2,878.60	$3,522.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,519.23 / $2,471.23 / $3,789.41	Facility		$1,519.23	$2,471.23	$3,789.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,101.71 / $2,477.15 / $4,118.88	Professional		$2,101.71	$2,477.15	$4,118.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,778.58 / $2,660.57 / $2,809.31	Facility		$1,778.58	$2,660.57	$2,809.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,627.20 / $2,827.22 / $3,789.41	Facility		$1,627.20	$2,827.22	$3,789.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,332.25 / $3,024.70 / $3,963.40	Professional		$2,332.25	$3,024.70	$3,963.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,174.45 / $7,174.45 / $7,174.45	Facility		$7,174.45	$7,174.45	$7,174.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,566.52 / $3,272.64 / $3,953.92	Professional		$2,566.52	$3,272.64	$3,953.92
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 $1,996.75 / $2,852.50 / $4,355.46	Professional		$1,996.75	$2,852.50	$4,355.46