Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,508.16 / $3,065.10 / $7,920.26	Facility		$2,508.16	$3,065.10	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,075.13 / $1,368.64 / $3,187.78	Professional		$1,075.13	$1,368.64	$3,187.78
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 $1,270.93 / $2,364.34 / $3,508.88	Professional		$1,270.93	$2,364.34	$3,508.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,001.62 / $2,628.31 / $3,225.15	Professional		$2,001.62	$2,628.31	$3,225.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,382.94 / $2,256.17 / $3,259.96	Facility		$1,382.94	$2,256.17	$3,259.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,797.75 / $2,174.81 / $3,747.57	Professional		$1,797.75	$2,174.81	$3,747.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,602.00 / $2,335.62 / $2,556.05	Facility		$1,602.00	$2,335.62	$2,556.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,418.76 / $2,473.40 / $3,261.64	Facility		$1,418.76	$2,473.40	$3,261.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,072.94 / $2,745.65 / $3,597.82	Professional		$2,072.94	$2,745.65	$3,597.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,177.16 / $6,177.16 / $6,177.16	Facility		$6,177.16	$6,177.16	$6,177.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,337.73 / $2,963.09 / $3,601.45	Professional		$2,337.73	$2,963.09	$3,601.45
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 $1,810.55 / $2,549.55 / $4,006.25	Professional		$1,810.55	$2,549.55	$4,006.25