Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,758.33 / $4,573.30 / $7,920.26	Facility		$3,758.33	$4,573.30	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,740.17 / $2,552.07 / $7,058.39	Professional		$1,740.17	$2,552.07	$7,058.39
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 $1,874.71 / $3,635.05 / $5,324.37	Professional		$1,874.71	$3,635.05	$5,324.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,971.26 / $3,901.53 / $4,766.27	Professional		$2,971.26	$3,901.53	$4,766.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,048.50 / $3,360.99 / $5,362.93	Facility		$2,048.50	$3,360.99	$5,362.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,959.53 / $3,385.80 / $5,476.47	Professional		$2,959.53	$3,385.80	$5,476.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,617.26 / $3,619.53 / $3,780.81	Facility		$2,617.26	$3,619.53	$3,780.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,111.42 / $3,844.39 / $5,362.93	Facility		$2,111.42	$3,844.39	$5,362.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,166.78 / $4,050.76 / $5,324.37	Professional		$3,166.78	$4,050.76	$5,324.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,011.92 / $10,011.92 / $10,011.92	Facility		$10,011.92	$10,011.92	$10,011.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,418.96 / $4,351.29 / $5,346.42	Professional		$3,418.96	$4,351.29	$5,346.42
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 $2,829.53 / $3,931.90 / $5,762.33	Professional		$2,829.53	$3,931.90	$5,762.33