Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,240.21 / $7,920.26 / $28,826.52	Facility		$2,240.21	$7,920.26	$28,826.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,004.66 / $1,545.33 / $4,412.00	Professional		$1,004.66	$1,545.33	$4,412.00
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 $1,155.25 / $2,179.34 / $3,127.50	Professional		$1,155.25	$2,179.34	$3,127.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,846.11 / $2,424.11 / $2,981.73	Professional		$1,846.11	$2,424.11	$2,981.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,246.73 / $2,030.80 / $3,036.89	Facility		$1,246.73	$2,030.80	$3,036.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,692.69 / $2,002.74 / $3,438.21	Professional		$1,692.69	$2,002.74	$3,438.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,450.35 / $2,169.36 / $2,353.04	Facility		$1,450.35	$2,169.36	$2,353.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,269.73 / $2,256.42 / $3,036.89	Facility		$1,269.73	$2,256.42	$3,036.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,865.60 / $2,459.19 / $3,185.95	Professional		$1,865.60	$2,459.19	$3,185.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,753.06 / $5,753.06 / $5,753.06	Facility		$5,753.06	$5,753.06	$5,753.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,080.03 / $2,718.29 / $3,295.66	Professional		$2,080.03	$2,718.29	$3,295.66
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 $1,668.72 / $2,257.67 / $3,528.52	Professional		$1,668.72	$2,257.67	$3,528.52