Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,303.35 / $2,812.47 / $7,920.26	Facility		$2,303.35	$2,812.47	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,034.55 / $1,592.34 / $4,094.40	Professional		$1,034.55	$1,592.34	$4,094.40
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 $1,164.32 / $2,193.50 / $3,240.21	Professional		$1,164.32	$2,193.50	$3,240.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,833.71 / $2,407.83 / $2,955.56	Professional		$1,833.71	$2,407.83	$2,955.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,223.69 / $2,067.08 / $3,178.51	Facility		$1,223.69	$2,067.08	$3,178.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,707.90 / $2,049.48 / $3,437.16	Professional		$1,707.90	$2,049.48	$3,437.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,431.89 / $2,203.42 / $2,344.33	Facility		$1,431.89	$2,203.42	$2,344.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,258.78 / $2,321.44 / $3,178.51	Facility		$1,258.78	$2,321.44	$3,178.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,928.36 / $2,528.03 / $3,307.66	Professional		$1,928.36	$2,528.03	$3,307.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,889.65 / $5,889.65 / $5,889.65	Facility		$5,889.65	$5,889.65	$5,889.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,143.38 / $2,730.97 / $3,302.04	Professional		$2,143.38	$2,730.97	$3,302.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,472.00 / $4,880.00 / $7,233.00	Facility		$1,472.00	$4,880.00	$7,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,682.00 / $2,377.90 / $3,637.39	Professional		$1,682.00	$2,377.90	$3,637.39