Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.96 / $3,190.28 / $7,920.26	Facility		$2,616.96	$3,190.28	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,184.34 / $1,789.74 / $5,228.56	Professional		$1,184.34	$1,789.74	$5,228.56
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 $1,351.86 / $2,559.17 / $3,666.48	Professional		$1,351.86	$2,559.17	$3,666.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,077.12 / $2,727.44 / $3,328.43	Professional		$2,077.12	$2,727.44	$3,328.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,436.56 / $2,461.92 / $3,727.39	Facility		$1,436.56	$2,461.92	$3,727.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,047.65 / $2,401.26 / $3,906.72	Professional		$2,047.65	$2,401.26	$3,906.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,880.83 / $2,530.30 / $2,664.59	Facility		$1,880.83	$2,530.30	$2,664.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,537.76 / $2,687.50 / $3,727.39	Facility		$1,537.76	$2,687.50	$3,727.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,232.42 / $2,868.24 / $3,759.15	Professional		$2,232.42	$2,868.24	$3,759.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,943.74 / $6,943.74 / $6,943.74	Facility		$6,943.74	$6,943.74	$6,943.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,433.67 / $3,104.05 / $3,749.26	Professional		$2,433.67	$3,104.05	$3,749.26
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 $1,920.61 / $2,790.71 / $4,130.03	Professional		$1,920.61	$2,790.71	$4,130.03