Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,248.57 / $3,977.16 / $7,920.26	Facility		$3,248.57	$3,977.16	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,455.72 / $2,234.19 / $5,865.26	Professional		$1,455.72	$2,234.19	$5,865.26
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 $1,647.55 / $3,117.84 / $4,555.71	Professional		$1,647.55	$3,117.84	$4,555.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,592.80 / $3,404.58 / $4,167.16	Professional		$2,592.80	$3,404.58	$4,167.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,796.61 / $2,930.74 / $4,443.81	Facility		$1,796.61	$2,930.74	$4,443.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,448.00 / $2,894.16 / $4,871.34	Professional		$2,448.00	$2,894.16	$4,871.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,139.10 / $3,076.64 / $3,322.53	Facility		$2,139.10	$3,076.64	$3,322.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,858.75 / $3,279.22 / $4,443.81	Facility		$1,858.75	$3,279.22	$4,443.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,703.23 / $3,562.50 / $4,614.35	Professional		$2,703.23	$3,562.50	$4,614.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,304.81 / $8,304.81 / $8,304.81	Facility		$8,304.81	$8,304.81	$8,304.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,035.17 / $3,870.50 / $4,831.72	Professional		$3,035.17	$3,870.50	$4,831.72
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 $2,322.11 / $3,232.00 / $5,112.64	Professional		$2,322.11	$3,232.00	$5,112.64