Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,508.46 / $3,060.25 / $7,920.26	Facility		$2,508.46	$3,060.25	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,141.34 / $1,730.77 / $4,626.53	Professional		$1,141.34	$1,730.77	$4,626.53
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 $1,266.20 / $2,403.19 / $3,530.89	Professional		$1,266.20	$2,403.19	$3,530.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,993.60 / $2,617.77 / $3,209.42	Professional		$1,993.60	$2,617.77	$3,209.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,382.32 / $2,247.33 / $3,467.30	Facility		$1,382.32	$2,247.33	$3,467.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,913.52 / $2,253.08 / $3,743.64	Professional		$1,913.52	$2,253.08	$3,743.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,735.20 / $2,415.35 / $2,553.37	Facility		$1,735.20	$2,415.35	$2,553.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,483.40 / $2,558.65 / $3,467.30	Facility		$1,483.40	$2,558.65	$3,467.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,121.83 / $2,753.45 / $3,609.51	Professional		$2,121.83	$2,753.45	$3,609.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,448.66 / $6,448.66 / $6,448.66	Facility		$6,448.66	$6,448.66	$6,448.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,334.65 / $2,974.49 / $3,596.71	Professional		$2,334.65	$2,974.49	$3,596.71
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 $1,872.21 / $2,709.16 / $4,038.57	Professional		$1,872.21	$2,709.16	$4,038.57