Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,101.30 / $3,433.32 / $7,920.26	Facility		$2,101.30	$3,433.32	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,542.81 / $2,360.32 / $6,178.78	Professional		$1,542.81	$2,360.32	$6,178.78
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 $1,739.02 / $3,292.11 / $4,844.06	Professional		$1,739.02	$3,292.11	$4,844.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,736.56 / $3,593.35 / $4,396.85	Professional		$2,736.56	$3,593.35	$4,396.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,962.67 / $3,084.85 / $4,748.33	Facility		$1,962.67	$3,084.85	$4,748.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,615.28 / $3,063.73 / $5,146.41	Professional		$2,615.28	$3,063.73	$5,146.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,331.41 / $3,224.04 / $3,510.13	Facility		$2,331.41	$3,224.04	$3,510.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,962.67 / $3,475.52 / $4,748.33	Facility		$1,962.67	$3,475.52	$4,748.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,902.40 / $3,781.60 / $4,952.24	Professional		$2,902.40	$3,781.60	$4,952.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,943.66 / $8,943.66 / $8,943.66	Facility		$8,943.66	$8,943.66	$8,943.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,206.16 / $4,089.04 / $4,939.32	Professional		$3,206.16	$4,089.04	$4,939.32
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 $2,441.28 / $3,560.21 / $5,546.11	Professional		$2,441.28	$3,560.21	$5,546.11