Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,514.26 / $3,072.98 / $7,920.26	Facility		$2,514.26	$3,072.98	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,089.86 / $1,736.52 / $4,497.07	Professional		$1,089.86	$1,736.52	$4,497.07
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 $1,257.60 / $2,370.02 / $3,543.89	Professional		$1,257.60	$2,370.02	$3,543.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,006.37 / $2,634.54 / $3,232.68	Professional		$2,006.37	$2,634.54	$3,232.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,386.65 / $2,224.80 / $3,201.65	Facility		$1,386.65	$2,224.80	$3,201.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,751.40 / $2,179.91 / $3,757.41	Professional		$1,751.40	$2,179.91	$3,757.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,566.09 / $2,257.23 / $2,562.75	Facility		$1,566.09	$2,257.23	$2,562.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,430.18 / $2,416.10 / $3,270.22	Facility		$1,430.18	$2,416.10	$3,270.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,041.83 / $2,741.70 / $3,607.56	Professional		$2,041.83	$2,741.70	$3,607.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,115.06 / $6,115.06 / $6,115.06	Facility		$6,115.06	$6,115.06	$6,115.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,343.88 / $2,985.41 / $3,610.92	Professional		$2,343.88	$2,985.41	$3,610.92
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 $1,667.96 / $2,526.81 / $3,977.64	Professional		$1,667.96	$2,526.81	$3,977.64