Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,073.80 / $7,943.28	Facility		$2,454.71	$4,073.80	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,819.70 / $4,365.16	Professional		$1,479.11	$1,819.70	$4,365.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $2,884.03 / $4,265.80	Professional		$1,023.29	$2,884.03	$4,265.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,162.28 / $3,801.89	Professional		$2,290.87	$3,162.28	$3,801.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,238.72 / $3,801.89	Facility		$1,621.81	$2,238.72	$3,801.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,884.03 / $3,981.07	Professional		$2,398.83	$2,884.03	$3,981.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,162.28 / $3,311.31	Facility		$2,290.87	$3,162.28	$3,311.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,290.87 / $3,801.89	Facility		$1,548.82	$2,290.87	$3,801.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $3,162.28 / $4,466.84	Professional		$79.43	$3,162.28	$4,466.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $8,317.64 / $8,317.64	Facility		$8,317.64	$8,317.64	$8,317.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,467.37 / $4,466.84	Professional		$2,951.21	$3,467.37	$4,466.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $7,585.78 / $31,622.78	Facility		$1,412.54	$7,585.78	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,162.28 / $4,570.88	Professional		$1,819.70	$3,162.28	$4,570.88