Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,370.98 / $2,906.49 / $7,920.26	Facility		$2,370.98	$2,906.49	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,065.82 / $1,632.34 / $4,254.18	Professional		$1,065.82	$1,632.34	$4,254.18
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 $1,204.28 / $2,271.71 / $3,345.15	Professional		$1,204.28	$2,271.71	$3,345.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,895.59 / $2,489.08 / $3,048.79	Professional		$1,895.59	$2,489.08	$3,048.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,310.80 / $2,140.38 / $3,284.03	Facility		$1,310.80	$2,140.38	$3,284.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,770.00 / $2,121.08 / $3,557.97	Professional		$1,770.00	$2,121.08	$3,557.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,558.67 / $2,289.39 / $2,426.73	Facility		$1,558.67	$2,289.39	$2,426.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,405.98 / $2,398.42 / $3,284.03	Facility		$1,405.98	$2,398.42	$3,284.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,996.80 / $2,611.44 / $3,418.66	Professional		$1,996.80	$2,611.44	$3,418.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,115.06 / $6,115.06 / $6,115.06	Facility		$6,115.06	$6,115.06	$6,115.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,215.33 / $2,826.97 / $3,412.89	Professional		$2,215.33	$2,826.97	$3,412.89
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 $1,775.00 / $2,541.14 / $3,731.68	Professional		$1,775.00	$2,541.14	$3,731.68