Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,038.70 / $2,747.00 / $7,920.26	Facility		$2,038.70	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $957.43 / $1,401.28 / $3,807.04	Professional		$957.43	$1,401.28	$3,807.04
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 $1,047.58 / $1,997.98 / $2,823.76	Professional		$1,047.58	$1,997.98	$2,823.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,665.33 / $2,186.73 / $2,692.69	Professional		$1,665.33	$2,186.73	$2,692.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,116.58 / $1,852.02 / $3,062.81	Facility		$1,116.58	$1,852.02	$3,062.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,567.80 / $1,822.41 / $3,059.94	Professional		$1,567.80	$1,822.41	$3,059.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,380.77 / $1,967.79 / $2,087.05	Facility		$1,380.77	$1,967.79	$2,087.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,202.61 / $2,095.94 / $3,062.81	Facility		$1,202.61	$2,095.94	$3,062.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,725.56 / $2,232.94 / $2,860.50	Professional		$1,725.56	$2,232.94	$2,860.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,419.41 / $5,419.41 / $5,419.41	Facility		$5,419.41	$5,419.41	$5,419.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,904.75 / $2,418.80 / $2,934.41	Professional		$1,904.75	$2,418.80	$2,934.41
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 $1,482.30 / $2,202.75 / $3,208.50	Professional		$1,482.30	$2,202.75	$3,208.50