Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.06 / $3,217.13 / $7,920.26	Facility		$2,630.06	$3,217.13	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,181.97 / $1,808.96 / $3,832.51	Professional		$1,181.97	$1,808.96	$3,832.51
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 $1,332.90 / $2,521.92 / $3,707.34	Professional		$1,332.90	$2,521.92	$3,707.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,097.59 / $2,754.32 / $3,371.14	Professional		$2,097.59	$2,754.32	$3,371.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,453.34 / $2,364.56 / $3,583.92	Facility		$1,453.34	$2,364.56	$3,583.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,990.20 / $2,348.15 / $3,940.11	Professional		$1,990.20	$2,348.15	$3,940.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,765.18 / $2,546.00 / $2,687.37	Facility		$1,765.18	$2,546.00	$2,687.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,556.78 / $2,656.00 / $3,583.92	Facility		$1,556.78	$2,656.00	$3,583.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,231.05 / $2,894.20 / $3,792.40	Professional		$2,231.05	$2,894.20	$3,792.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,846.15 / $6,846.15 / $6,846.15	Facility		$6,846.15	$6,846.15	$6,846.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,454.58 / $3,130.59 / $3,781.47	Professional		$2,454.58	$3,130.59	$3,781.47
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 $1,792.17 / $2,727.20 / $4,165.52	Professional		$1,792.17	$2,727.20	$4,165.52