Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,932.21 / $4,786.14 / $7,920.26	Facility		$3,932.21	$4,786.14	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,777.71 / $2,699.71 / $7,163.82	Professional		$1,777.71	$2,699.71	$7,163.82
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 $1,981.56 / $3,762.73 / $5,538.72	Professional		$1,981.56	$3,762.73	$5,538.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,116.98 / $4,092.87 / $5,002.27	Professional		$3,116.98	$4,092.87	$5,002.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,173.36 / $3,513.69 / $5,460.11	Facility		$2,173.36	$3,513.69	$5,460.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,979.60 / $3,526.41 / $5,867.43	Professional		$2,979.60	$3,526.41	$5,867.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,454.59 / $3,797.05 / $4,001.91	Facility		$2,454.59	$3,797.05	$4,001.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,242.23 / $4,006.52 / $5,460.11	Facility		$2,242.23	$4,006.52	$5,460.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,338.91 / $4,323.89 / $5,665.80	Professional		$3,338.91	$4,323.89	$5,665.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,239.06 / $10,239.06 / $10,239.06	Facility		$10,239.06	$10,239.06	$10,239.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,661.89 / $4,661.93 / $5,641.42	Professional		$3,661.89	$4,661.93	$5,641.42
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 $2,859.15 / $4,084.51 / $6,275.51	Professional		$2,859.15	$4,084.51	$6,275.51