Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,360.69 / $4,104.68 / $7,920.26	Facility		$3,360.69	$4,104.68	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,519.44 / $2,305.32 / $6,137.64	Professional		$1,519.44	$2,305.32	$6,137.64
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 $1,700.19 / $3,216.18 / $4,740.04	Professional		$1,700.19	$3,216.18	$4,740.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,674.36 / $3,511.68 / $4,290.89	Professional		$2,674.36	$3,511.68	$4,290.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,860.61 / $3,014.74 / $4,667.80	Facility		$1,860.61	$3,014.74	$4,667.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,568.87 / $3,017.06 / $5,033.43	Professional		$2,568.87	$3,017.06	$5,033.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,236.50 / $3,257.54 / $3,433.08	Facility		$2,236.50	$3,257.54	$3,433.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,923.89 / $3,426.60 / $4,667.80	Facility		$1,923.89	$3,426.60	$4,667.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,853.92 / $3,700.40 / $4,848.80	Professional		$2,853.92	$3,700.40	$4,848.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,769.75 / $8,769.75 / $8,769.75	Facility		$8,769.75	$8,769.75	$8,769.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,136.04 / $3,999.28 / $4,831.30	Professional		$3,136.04	$3,999.28	$4,831.30
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 $2,446.07 / $3,494.40 / $5,282.57	Professional		$2,446.07	$3,494.40	$5,282.57