Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,673.03 / $3,269.10 / $7,920.26	Facility		$2,673.03	$3,269.10	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,199.75 / $1,838.01 / $4,884.68	Professional		$1,199.75	$1,838.01	$4,884.68
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 $1,355.02 / $2,562.30 / $3,769.56	Professional		$1,355.02	$2,562.30	$3,769.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,132.36 / $2,799.98 / $3,426.62	Professional		$2,132.36	$2,799.98	$3,426.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,478.06 / $2,403.75 / $3,708.88	Facility		$1,478.06	$2,403.75	$3,708.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,024.19 / $2,387.17 / $4,003.95	Professional		$2,024.19	$2,387.17	$4,003.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,789.70 / $2,567.44 / $2,730.92	Facility		$1,789.70	$2,567.44	$2,730.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,582.72 / $2,702.50 / $3,708.88	Facility		$1,582.72	$2,702.50	$3,708.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,268.87 / $2,942.78 / $3,856.05	Professional		$2,268.87	$2,942.78	$3,856.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,902.95 / $6,902.95 / $6,902.95	Facility		$6,902.95	$6,902.95	$6,902.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,495.79 / $3,181.32 / $3,844.96	Professional		$2,495.79	$3,181.32	$3,844.96
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 $1,987.99 / $2,773.40 / $4,317.29	Professional		$1,987.99	$2,773.40	$4,317.29