Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,001.86 / $2,747.00 / $7,920.26	Facility		$2,001.86	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $903.69 / $1,376.81 / $3,627.48	Professional		$903.69	$1,376.81	$3,627.48
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 $1,016.24 / $1,921.89 / $2,822.29	Professional		$1,016.24	$1,921.89	$2,822.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,599.27 / $2,099.98 / $2,570.58	Professional		$1,599.27	$2,099.98	$2,570.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,092.06 / $1,802.80 / $2,780.50	Facility		$1,092.06	$1,802.80	$2,780.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,511.40 / $1,802.40 / $3,001.98	Professional		$1,511.40	$1,802.40	$3,001.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,244.26 / $1,938.31 / $2,047.52	Facility		$1,244.26	$1,938.31	$2,047.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,146.66 / $2,034.36 / $2,780.50	Facility		$1,146.66	$2,034.36	$2,780.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,697.92 / $2,203.28 / $2,887.05	Professional		$1,697.92	$2,203.28	$2,887.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,236.62 / $5,236.62 / $5,236.62	Facility		$5,236.62	$5,236.62	$5,236.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,869.08 / $2,385.21 / $2,879.45	Professional		$1,869.08	$2,385.21	$2,879.45
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 $1,485.00 / $2,079.00 / $3,233.18	Professional		$1,485.00	$2,079.00	$3,233.18