Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,573.69 / $7,920.26 / $45,980.17	Facility		$3,573.69	$7,920.26	$45,980.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,638.29 / $2,436.14 / $6,660.19	Professional		$1,638.29	$2,436.14	$6,660.19
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 $1,783.17 / $3,446.56 / $5,087.58	Professional		$1,783.17	$3,446.56	$5,087.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,827.22 / $3,712.40 / $4,544.78	Professional		$2,827.22	$3,712.40	$4,544.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,829.70 / $3,187.05 / $4,993.60	Facility		$1,829.70	$3,187.05	$4,993.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,746.80 / $3,210.88 / $5,208.30	Professional		$2,746.80	$3,210.88	$5,208.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,564.17 / $3,444.07 / $3,612.84	Facility		$2,564.17	$3,444.07	$3,612.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,917.90 / $3,663.10 / $4,993.60	Facility		$1,917.90	$3,663.10	$4,993.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,015.15 / $3,848.99 / $5,045.71	Professional		$3,015.15	$3,848.99	$5,045.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,302.09 / $9,302.09 / $9,302.09	Facility		$9,302.09	$9,302.09	$9,302.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,249.82 / $4,138.21 / $5,006.59	Professional		$3,249.82	$4,138.21	$5,006.59
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 $2,435.84 / $3,616.97 / $5,515.05	Professional		$2,435.84	$3,616.97	$5,515.05