Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,314.39 / $5,116.62 / $7,920.26	Facility		$4,314.39	$5,116.62	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,944.00 / $2,973.45 / $7,770.68	Professional		$1,944.00	$2,973.45	$7,770.68
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 $2,168.19 / $4,136.62 / $6,059.72	Professional		$2,168.19	$4,136.62	$6,059.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,412.77 / $4,481.27 / $5,488.63	Professional		$3,412.77	$4,481.27	$5,488.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,373.92 / $4,052.09 / $5,963.64	Facility		$2,373.92	$4,052.09	$5,963.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,286.44 / $3,901.30 / $6,419.49	Professional		$3,286.44	$3,901.30	$6,419.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,032.00 / $4,157.37 / $4,378.45	Facility		$3,032.00	$4,157.37	$4,378.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,443.35 / $4,411.67 / $5,963.64	Facility		$2,443.35	$4,411.67	$5,963.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,643.52 / $4,730.63 / $6,198.75	Professional		$3,643.52	$4,730.63	$6,198.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,087.27 / $11,087.27 / $11,087.27	Facility		$11,087.27	$11,087.27	$11,087.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,004.46 / $5,100.57 / $6,169.17	Professional		$4,004.46	$5,100.57	$6,169.17
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 $3,161.51 / $4,474.41 / $6,862.61	Professional		$3,161.51	$4,474.41	$6,862.61