Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,096.50 / $2,747.00 / $7,920.26	Facility		$2,096.50	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $942.36 / $1,452.23 / $3,792.29	Professional		$942.36	$1,452.23	$3,792.29
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 $1,059.48 / $1,989.95 / $2,952.31	Professional		$1,059.48	$1,989.95	$2,952.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,669.38 / $2,192.04 / $2,693.99	Professional		$1,669.38	$2,192.04	$2,693.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,153.76 / $1,881.84 / $2,878.62	Facility		$1,153.76	$1,881.84	$2,878.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,591.71 / $1,863.74 / $3,131.67	Professional		$1,591.71	$1,863.74	$3,131.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,457.86 / $2,003.30 / $2,135.96	Facility		$1,457.86	$2,003.30	$2,135.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,243.77 / $2,111.31 / $2,878.62	Facility		$1,243.77	$2,111.31	$2,878.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,749.12 / $2,303.33 / $2,999.97	Professional		$1,749.12	$2,303.33	$2,999.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,343.13 / $5,343.13 / $5,343.13	Facility		$5,343.13	$5,343.13	$5,343.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,951.49 / $2,488.23 / $3,006.42	Professional		$1,951.49	$2,488.23	$3,006.42
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 $1,552.45 / $2,207.54 / $3,322.55	Professional		$1,552.45	$2,207.54	$3,322.55