Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,017.87 / $3,653.28 / $7,920.26	Facility		$3,017.87	$3,653.28	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,354.50 / $2,054.71 / $6,674.57	Professional		$1,354.50	$2,054.71	$6,674.57
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 $1,557.57 / $3,012.68 / $4,255.72	Professional		$1,557.57	$3,012.68	$4,255.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,375.14 / $3,118.77 / $3,793.81	Professional		$2,375.14	$3,118.77	$3,793.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,658.70 / $3,143.31 / $4,507.67	Facility		$1,658.70	$3,143.31	$4,507.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,442.30 / $2,841.95 / $4,622.55	Professional		$2,442.30	$2,841.95	$4,622.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,284.90 / $2,893.35 / $3,159.72	Facility		$2,284.90	$2,893.35	$3,159.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,753.51 / $3,409.58 / $4,507.67	Facility		$1,753.51	$3,409.58	$4,507.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,560.67 / $3,335.33 / $4,362.29	Professional		$2,560.67	$3,335.33	$4,362.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,414.83 / $8,414.83 / $8,414.83	Facility		$8,414.83	$8,414.83	$8,414.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,796.54 / $3,561.42 / $4,308.28	Professional		$2,796.54	$3,561.42	$4,308.28
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 $2,314.42 / $3,231.67 / $4,745.82	Professional		$2,314.42	$3,231.67	$4,745.82