Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,910.62 / $4,809.99 / $7,920.26	Facility		$3,910.62	$4,809.99	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,685.46 / $2,710.06 / $6,901.95	Professional		$1,685.46	$2,710.06	$6,901.95
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 $1,954.41 / $3,713.36 / $5,511.60	Professional		$1,954.41	$3,713.36	$5,511.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,142.19 / $4,125.97 / $5,074.68	Professional		$3,142.19	$4,125.97	$5,074.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,105.82 / $3,401.85 / $4,922.92	Facility		$2,105.82	$3,401.85	$4,922.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,741.25 / $3,408.84 / $5,872.35	Professional		$2,741.25	$3,408.84	$5,872.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,442.36 / $3,526.21 / $4,005.26	Facility		$2,442.36	$3,526.21	$4,005.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,139.64 / $3,724.66 / $5,097.97	Facility		$2,139.64	$3,724.66	$5,097.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,229.60 / $4,276.08 / $5,596.83	Professional		$3,229.60	$4,276.08	$5,596.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,339.36 / $9,339.36 / $9,339.36	Facility		$9,339.36	$9,339.36	$9,339.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,656.35 / $4,660.02 / $5,632.89	Professional		$3,656.35	$4,660.02	$5,632.89
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 $2,759.03 / $3,966.12 / $6,204.94	Professional		$2,759.03	$3,966.12	$6,204.94