Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,700.38 / $3,292.56 / $7,920.26	Facility		$2,700.38	$3,292.56	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,216.21 / $1,861.41 / $4,878.33	Professional		$1,216.21	$1,861.41	$4,878.33
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 $1,361.56 / $2,583.92 / $3,799.28	Professional		$1,361.56	$2,583.92	$3,799.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,143.41 / $2,814.50 / $3,448.28	Professional		$2,143.41	$2,814.50	$3,448.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,487.86 / $2,416.19 / $3,735.72	Facility		$1,487.86	$2,416.19	$3,735.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,025.00 / $2,401.57 / $4,029.51	Professional		$2,025.00	$2,401.57	$4,029.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,745.44 / $2,533.94 / $2,748.34	Facility		$1,745.44	$2,533.94	$2,748.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,593.80 / $2,734.11 / $3,735.72	Facility		$1,593.80	$2,734.11	$3,735.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,275.19 / $2,965.98 / $3,886.04	Professional		$2,275.19	$2,965.98	$3,886.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,966.83 / $6,966.83 / $6,966.83	Facility		$6,966.83	$6,966.83	$6,966.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,513.62 / $3,201.61 / $3,872.43	Professional		$2,513.62	$3,201.61	$3,872.43
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 $1,899.36 / $2,793.71 / $4,265.71	Professional		$1,899.36	$2,793.71	$4,265.71