Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,580.17 / $3,173.14 / $7,920.26	Facility		$2,580.17	$3,173.14	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,206.16 / $1,757.81 / $4,807.43	Professional		$1,206.16	$1,757.81	$4,807.43
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 $1,302.80 / $2,518.78 / $3,602.70	Professional		$1,302.80	$2,518.78	$3,602.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,065.83 / $2,712.62 / $3,322.33	Professional		$2,065.83	$2,712.62	$3,322.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,417.55 / $2,334.06 / $3,738.50	Facility		$1,417.55	$2,334.06	$3,738.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,998.00 / $2,335.58 / $3,796.68	Professional		$1,998.00	$2,335.58	$3,796.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,853.89 / $2,505.13 / $2,652.53	Facility		$1,853.89	$2,505.13	$2,652.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,492.64 / $2,670.18 / $3,738.50	Facility		$1,492.64	$2,670.18	$3,738.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,203.34 / $2,801.50 / $3,640.66	Professional		$2,203.34	$2,801.50	$3,640.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,044.89 / $7,044.89 / $7,044.89	Facility		$7,044.89	$7,044.89	$7,044.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,364.17 / $3,016.63 / $3,642.19	Professional		$2,364.17	$3,016.63	$3,642.19
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 $1,869.50 / $2,679.00 / $4,012.07	Professional		$1,869.50	$2,679.00	$4,012.07