Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.69 / $3,536.14 / $7,920.26	Facility		$2,906.69	$3,536.14	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,298.92 / $2,009.62 / $5,109.57	Professional		$1,298.92	$2,009.62	$5,109.57
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 $1,463.52 / $2,760.68 / $4,084.39	Professional		$1,463.52	$2,760.68	$4,084.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,305.03 / $3,026.71 / $3,714.68	Professional		$2,305.03	$3,026.71	$3,714.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,613.37 / $2,598.40 / $3,996.74	Facility		$1,613.37	$2,598.40	$3,996.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,146.52 / $2,575.82 / $4,323.21	Professional		$2,146.52	$2,575.82	$4,323.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,886.85 / $2,780.50 / $2,948.67	Facility		$1,886.85	$2,780.50	$2,948.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,642.66 / $2,915.42 / $3,996.74	Facility		$1,642.66	$2,915.42	$3,996.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,426.96 / $3,179.72 / $4,168.41	Professional		$2,426.96	$3,179.72	$4,168.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,529.36 / $7,529.36 / $7,529.36	Facility		$7,529.36	$7,529.36	$7,529.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,698.13 / $3,434.98 / $4,156.68	Professional		$2,698.13	$3,434.98	$4,156.68
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 $2,183.32 / $3,093.03 / $4,854.20	Professional		$2,183.32	$3,093.03	$4,854.20