Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,831.80 / $3,430.69 / $7,920.26	Facility		$2,831.80	$3,430.69	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,301.50 / $1,929.23 / $6,093.76	Professional		$1,301.50	$1,929.23	$6,093.76
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 $1,461.28 / $2,827.33 / $4,127.95	Professional		$1,461.28	$2,827.33	$4,127.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,230.01 / $2,928.21 / $3,563.47	Professional		$2,230.01	$2,928.21	$3,563.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,556.14 / $2,877.69 / $4,119.74	Facility		$1,556.14	$2,877.69	$4,119.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,292.31 / $2,664.44 / $4,337.91	Professional		$2,292.31	$2,664.44	$4,337.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,119.69 / $2,716.56 / $2,931.25	Facility		$2,119.69	$2,716.56	$2,931.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,653.20 / $3,145.04 / $4,117.99	Facility		$1,653.20	$3,145.04	$4,117.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,418.28 / $3,127.32 / $4,092.46	Professional		$2,418.28	$3,127.32	$4,092.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,806.16 / $7,806.16 / $7,806.16	Facility		$7,806.16	$7,806.16	$7,806.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,624.34 / $3,343.66 / $4,053.35	Professional		$2,624.34	$3,343.66	$4,053.35
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 $2,165.76 / $3,011.46 / $4,453.59	Professional		$2,165.76	$3,011.46	$4,453.59