Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,087.80 / $2,747.00 / $7,920.26	Facility		$2,087.80	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $949.04 / $1,433.08 / $4,116.25	Professional		$949.04	$1,433.08	$4,116.25
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 $1,065.24 / $2,038.45 / $2,924.45	Professional		$1,065.24	$2,038.45	$2,924.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,663.56 / $2,184.41 / $2,672.05	Professional		$1,663.56	$2,184.41	$2,672.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,144.08 / $1,925.79 / $2,966.55	Facility		$1,144.08	$1,925.79	$2,966.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,632.00 / $1,910.84 / $3,121.83	Professional		$1,632.00	$1,910.84	$3,121.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,456.25 / $2,026.53 / $2,129.26	Facility		$1,456.25	$2,026.53	$2,129.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,230.83 / $2,149.90 / $2,966.55	Facility		$1,230.83	$2,149.90	$2,966.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,780.56 / $2,287.42 / $2,997.93	Professional		$1,780.56	$2,287.42	$2,997.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,524.13 / $5,524.13 / $5,524.13	Facility		$5,524.13	$5,524.13	$5,524.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,942.88 / $2,480.42 / $2,993.15	Professional		$1,942.88	$2,480.42	$2,993.15
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 $1,571.82 / $2,160.90 / $3,323.63	Professional		$1,571.82	$2,160.90	$3,323.63