Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,686.07 / $4,413.68 / $7,920.26	Facility		$3,686.07	$4,413.68	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,689.56 / $2,410.38 / $5,380.17	Professional		$1,689.56	$2,410.38	$5,380.17
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 $1,814.54 / $3,520.39 / $5,129.25	Professional		$1,814.54	$3,520.39	$5,129.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,872.35 / $3,771.65 / $4,600.08	Professional		$2,872.35	$3,771.65	$4,600.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,975.46 / $3,278.88 / $5,168.55	Facility		$1,975.46	$3,278.88	$5,168.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,853.96 / $3,301.64 / $5,287.86	Professional		$2,853.96	$3,301.64	$5,287.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,607.02 / $3,499.05 / $3,648.15	Facility		$2,607.02	$3,499.05	$3,648.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,053.02 / $3,716.42 / $5,168.55	Facility		$2,053.02	$3,716.42	$5,168.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,060.02 / $3,933.07 / $5,179.39	Professional		$3,060.02	$3,933.07	$5,179.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,662.31 / $9,662.31 / $9,662.31	Facility		$9,662.31	$9,662.31	$9,662.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,299.02 / $4,201.43 / $5,173.81	Professional		$3,299.02	$4,201.43	$5,173.81
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 $2,730.27 / $3,935.28 / $5,576.25	Professional		$2,730.27	$3,935.28	$5,576.25