Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,265.10 / $5,116.62 / $7,920.26	Facility		$4,265.10	$5,116.62	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,901.80 / $2,951.54 / $7,370.69	Professional		$1,901.80	$2,951.54	$7,370.69
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 $2,172.73 / $4,044.64 / $6,012.83	Professional		$2,172.73	$4,044.64	$6,012.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,423.31 / $4,495.12 / $5,523.81	Professional		$3,423.31	$4,495.12	$5,523.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,351.63 / $3,858.88 / $5,856.27	Facility		$2,351.63	$3,858.88	$5,856.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,010.53 / $3,788.20 / $6,403.77	Professional		$3,010.53	$3,788.20	$6,403.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,538.64 / $3,944.08 / $4,367.72	Facility		$2,538.64	$3,944.08	$4,367.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,351.63 / $4,266.38 / $5,856.27	Facility		$2,351.63	$4,266.38	$5,856.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,555.73 / $4,673.52 / $6,110.94	Professional		$3,555.73	$4,673.52	$6,110.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,039.39 / $11,039.39 / $11,039.39	Facility		$11,039.39	$11,039.39	$11,039.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,986.63 / $5,083.80 / $6,141.70	Professional		$3,986.63	$5,083.80	$6,141.70
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 $3,200.76 / $4,581.16 / $6,715.35	Professional		$3,200.76	$4,581.16	$6,715.35