Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,783.22 / $3,404.68 / $7,920.26	Facility		$2,783.22	$3,404.68	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,256.33 / $1,913.26 / $5,001.35	Professional		$1,256.33	$1,913.26	$5,001.35
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 $1,410.47 / $2,668.17 / $3,923.72	Professional		$1,410.47	$2,668.17	$3,923.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,219.50 / $2,914.41 / $3,566.04	Professional		$2,219.50	$2,914.41	$3,566.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,538.59 / $2,501.98 / $3,864.38	Facility		$1,538.59	$2,501.98	$3,864.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,079.60 / $2,513.19 / $4,170.96	Professional		$2,079.60	$2,513.19	$4,170.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,836.00 / $2,695.41 / $2,844.82	Facility		$1,836.00	$2,695.41	$2,844.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,647.54 / $2,829.28 / $3,864.38	Facility		$1,647.54	$2,829.28	$3,864.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,361.60 / $3,063.13 / $4,013.75	Professional		$2,361.60	$3,063.13	$4,013.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,293.35 / $7,293.35 / $7,293.35	Facility		$7,293.35	$7,293.35	$7,293.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,598.51 / $3,314.00 / $4,003.19	Professional		$2,598.51	$3,314.00	$4,003.19
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 $2,089.48 / $2,888.21 / $4,453.14	Professional		$2,089.48	$2,888.21	$4,453.14