Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,172.60 / $5,088.60 / $7,920.26	Facility		$4,172.60	$5,088.60	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,879.22 / $2,857.24 / $7,450.51	Professional		$1,879.22	$2,857.24	$7,450.51
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 $2,108.46 / $3,997.83 / $5,884.19	Professional		$2,108.46	$3,997.83	$5,884.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,315.34 / $4,353.34 / $5,313.25	Professional		$3,315.34	$4,353.34	$5,313.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,144.79 / $3,737.28 / $5,804.44	Facility		$2,144.79	$3,737.28	$5,804.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,141.00 / $3,741.74 / $6,244.65	Professional		$3,141.00	$3,741.74	$6,244.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,802.58 / $4,038.67 / $4,259.18	Facility		$2,802.58	$4,038.67	$4,259.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,176.52 / $4,244.45 / $5,804.44	Facility		$2,176.52	$4,244.45	$5,804.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,547.91 / $4,593.60 / $6,019.20	Professional		$3,547.91	$4,593.60	$6,019.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,900.96 / $10,900.96 / $10,900.96	Facility		$10,900.96	$10,900.96	$10,900.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,891.91 / $4,961.64 / $5,995.78	Professional		$3,891.91	$4,961.64	$5,995.78
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 $2,980.31 / $4,235.00 / $6,604.69	Professional		$2,980.31	$4,235.00	$6,604.69