Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,195.69 / $2,747.00 / $7,920.26	Facility		$2,195.69	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $987.48 / $1,496.67 / $4,814.64	Professional		$987.48	$1,496.67	$4,814.64
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 $1,131.44 / $2,192.17 / $3,094.64	Professional		$1,131.44	$2,192.17	$3,094.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,730.95 / $2,272.89 / $2,767.15	Professional		$1,730.95	$2,272.89	$2,767.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,207.18 / $2,266.17 / $3,274.77	Facility		$1,207.18	$2,266.17	$3,274.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,758.99 / $2,048.41 / $3,366.03	Professional		$1,758.99	$2,048.41	$3,366.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,584.80 / $2,108.60 / $2,231.10	Facility		$1,584.80	$2,108.60	$2,231.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,283.44 / $2,457.33 / $3,274.77	Facility		$1,283.44	$2,457.33	$3,274.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,861.09 / $2,420.55 / $3,174.26	Professional		$1,861.09	$2,420.55	$3,174.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,861.30 / $5,861.30 / $5,861.30	Facility		$5,861.30	$5,861.30	$5,861.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,036.36 / $2,593.60 / $3,137.17	Professional		$2,036.36	$2,593.60	$3,137.17
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 $1,685.30 / $2,356.85 / $3,489.81	Professional		$1,685.30	$2,356.85	$3,489.81