Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,605.67 / $3,156.47 / $7,920.26	Facility		$2,605.67	$3,156.47	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,169.17 / $1,773.21 / $5,566.83	Professional		$1,169.17	$1,773.21	$5,566.83
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 $1,342.11 / $2,571.79 / $3,674.71	Professional		$1,342.11	$2,571.79	$3,674.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,051.08 / $2,693.26 / $3,275.34	Professional		$2,051.08	$2,693.26	$3,275.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,432.59 / $2,634.87 / $3,790.67	Facility		$1,432.59	$2,634.87	$3,790.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,013.99 / $2,428.83 / $3,992.25	Professional		$2,013.99	$2,428.83	$3,992.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,887.13 / $2,498.59 / $2,642.48	Facility		$1,887.13	$2,498.59	$2,642.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,520.32 / $2,855.71 / $3,752.38	Facility		$1,520.32	$2,855.71	$3,752.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,208.73 / $2,876.45 / $3,753.60	Professional		$2,208.73	$2,876.45	$3,753.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,936.65 / $6,936.65 / $6,936.65	Facility		$6,936.65	$6,936.65	$6,936.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,415.21 / $3,078.29 / $3,720.83	Professional		$2,415.21	$3,078.29	$3,720.83
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 $1,976.25 / $2,776.44 / $4,139.06	Professional		$1,976.25	$2,776.44	$4,139.06