Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,555.51 / $4,348.49 / $7,920.26	Facility		$3,555.51	$4,348.49	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,596.13 / $2,442.92 / $6,395.05	Professional		$1,596.13	$2,442.92	$6,395.05
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 $1,801.48 / $3,406.73 / $5,016.79	Professional		$1,801.48	$3,406.73	$5,016.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,834.48 / $3,721.93 / $4,552.62	Professional		$2,834.48	$3,721.93	$4,552.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,967.59 / $3,195.48 / $4,923.27	Facility		$1,967.59	$3,195.48	$4,923.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,711.16 / $3,174.35 / $5,328.15	Professional		$2,711.16	$3,174.35	$5,328.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,335.50 / $3,434.42 / $3,634.08	Facility		$2,335.50	$3,434.42	$3,634.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,034.95 / $3,597.40 / $4,923.27	Facility		$2,034.95	$3,597.40	$4,923.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,003.52 / $3,916.45 / $5,131.39	Professional		$3,003.52	$3,916.45	$5,131.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,138.84 / $9,138.84 / $9,138.84	Facility		$9,138.84	$9,138.84	$9,138.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,320.54 / $4,233.43 / $5,298.32	Professional		$3,320.54	$4,233.43	$5,298.32
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 $2,547.81 / $3,636.30 / $5,635.08	Professional		$2,547.81	$3,636.30	$5,635.08