Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,278.07 / $3,991.62 / $7,920.26	Facility		$3,278.07	$3,991.62	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,462.93 / $2,265.63 / $5,837.35	Professional		$1,462.93	$2,265.63	$5,837.35
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 $1,652.68 / $3,112.14 / $4,610.03	Professional		$1,652.68	$3,112.14	$4,610.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,602.88 / $3,417.82 / $4,194.21	Professional		$2,602.88	$3,417.82	$4,194.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,803.19 / $2,934.15 / $4,504.89	Facility		$1,803.19	$2,934.15	$4,504.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,424.60 / $2,908.85 / $4,880.18	Professional		$2,424.60	$2,908.85	$4,880.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,037.23 / $3,136.27 / $3,328.56	Facility		$2,037.23	$3,136.27	$3,328.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,808.41 / $3,284.59 / $4,504.89	Facility		$1,808.41	$3,284.59	$4,504.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,735.95 / $3,589.38 / $4,702.97	Professional		$2,735.95	$3,589.38	$4,702.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,485.81 / $8,485.81 / $8,485.81	Facility		$8,485.81	$8,485.81	$8,485.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,046.86 / $3,877.52 / $4,693.92	Professional		$3,046.86	$3,877.52	$4,693.92
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 $2,434.75 / $3,485.03 / $5,170.60	Professional		$2,434.75	$3,485.03	$5,170.60