Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,578.21 / $3,154.22 / $7,920.26	Facility		$2,578.21	$3,154.22	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,171.70 / $1,769.13 / $5,023.81	Professional		$1,171.70	$1,769.13	$5,023.81
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 $1,346.25 / $2,508.86 / $3,613.54	Professional		$1,346.25	$2,508.86	$3,613.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,053.94 / $2,697.01 / $3,298.47	Professional		$2,053.94	$2,697.01	$3,298.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,413.87 / $2,392.23 / $3,659.82	Facility		$1,413.87	$2,392.23	$3,659.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,010.93 / $2,359.07 / $3,857.58	Professional		$2,010.93	$2,359.07	$3,857.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,714.95 / $2,502.07 / $2,678.66	Facility		$1,714.95	$2,502.07	$2,678.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,507.27 / $2,657.51 / $3,659.82	Facility		$1,507.27	$2,657.51	$3,659.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,196.62 / $2,826.73 / $3,701.33	Professional		$2,196.62	$2,826.73	$3,701.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,649.19 / $6,649.19 / $6,649.19	Facility		$6,649.19	$6,649.19	$6,649.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,398.00 / $3,062.27 / $3,694.30	Professional		$2,398.00	$3,062.27	$3,694.30
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 $1,827.42 / $2,672.50 / $4,105.47	Professional		$1,827.42	$2,672.50	$4,105.47