Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,994.23 / $3,659.76 / $7,920.26	Facility		$2,994.23	$3,659.76	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,360.00 / $2,056.42 / $6,091.42	Professional		$1,360.00	$2,056.42	$6,091.42
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 $1,516.16 / $2,924.23 / $4,221.83	Professional		$1,516.16	$2,924.23	$4,221.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,385.32 / $3,132.14 / $3,830.06	Professional		$2,385.32	$3,132.14	$3,830.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,632.05 / $2,688.94 / $4,000.44	Facility		$1,632.05	$2,688.94	$4,000.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,361.81 / $2,672.20 / $4,485.30	Professional		$2,361.81	$2,672.20	$4,485.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,024.10 / $2,891.05 / $3,059.22	Facility		$2,024.10	$2,891.05	$3,059.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,713.65 / $3,081.08 / $4,000.44	Facility		$1,713.65	$3,081.08	$4,000.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,549.04 / $3,295.85 / $4,318.70	Professional		$2,549.04	$3,295.85	$4,318.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,648.26 / $7,648.26 / $7,648.26	Facility		$7,648.26	$7,648.26	$7,648.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,795.93 / $3,563.76 / $4,307.34	Professional		$2,795.93	$3,563.76	$4,307.34
United Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $17,375.00 / $26,255.00	Facility		$2,800.00	$17,375.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,160.90 / $3,119.75 / $4,836.47	Professional		$2,160.90	$3,119.75	$4,836.47