Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,527.64 / $3,096.01 / $7,920.26	Facility		$2,527.64	$3,096.01	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,136.40 / $1,739.40 / $4,549.28	Professional		$1,136.40	$1,739.40	$4,549.28
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 $1,282.53 / $2,418.44 / $3,566.18	Professional		$1,282.53	$2,418.44	$3,566.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,018.59 / $2,650.59 / $3,245.54	Professional		$2,018.59	$2,650.59	$3,245.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,397.65 / $2,281.16 / $3,498.77	Facility		$1,397.65	$2,281.16	$3,498.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,928.31 / $2,259.07 / $3,790.80	Professional		$1,928.31	$2,259.07	$3,790.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,709.90 / $2,438.80 / $2,585.53	Facility		$1,709.90	$2,438.80	$2,585.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,497.78 / $2,558.04 / $3,498.77	Facility		$1,497.78	$2,558.04	$3,498.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,125.44 / $2,784.00 / $3,643.59	Professional		$2,125.44	$2,784.00	$3,643.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,579.95 / $6,579.95 / $6,579.95	Facility		$6,579.95	$6,579.95	$6,579.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,360.48 / $3,011.95 / $3,636.50	Professional		$2,360.48	$3,011.95	$3,636.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,151.00 / $15,055.00 / $24,231.00	Facility		$2,151.00	$15,055.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,890.50 / $2,735.47 / $3,976.16	Professional		$1,890.50	$2,735.47	$3,976.16