Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,432.77 / $3,008.29 / $7,920.26	Facility		$2,432.77	$3,008.29	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,073.78 / $1,699.31 / $4,655.92	Professional		$1,073.78	$1,699.31	$4,655.92
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 $1,215.07 / $2,309.40 / $3,396.13	Professional		$1,215.07	$2,309.40	$3,396.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,969.13 / $2,585.64 / $3,196.02	Professional		$1,969.13	$2,585.64	$3,196.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,299.25 / $2,201.76 / $3,077.73	Facility		$1,299.25	$2,201.76	$3,077.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,683.51 / $2,096.40 / $3,660.15	Professional		$1,683.51	$2,096.40	$3,660.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,516.02 / $2,142.66 / $2,496.42	Facility		$1,516.02	$2,142.66	$2,496.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,330.98 / $2,386.80 / $3,174.97	Facility		$1,330.98	$2,386.80	$3,174.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,989.00 / $2,650.45 / $3,450.79	Professional		$1,989.00	$2,650.45	$3,450.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,676.73 / $5,676.73 / $5,676.73	Facility		$5,676.73	$5,676.73	$5,676.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,274.98 / $2,893.24 / $3,504.80	Professional		$2,274.98	$2,893.24	$3,504.80
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 $1,692.90 / $2,374.48 / $3,860.75	Professional		$1,692.90	$2,374.48	$3,860.75