Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,628.78 / $3,208.46 / $7,920.26	Facility		$2,628.78	$3,208.46	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,182.26 / $1,581.28 / $4,120.67	Professional		$1,182.26	$1,581.28	$4,120.67
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 $1,327.60 / $2,510.42 / $3,698.98	Professional		$1,327.60	$2,510.42	$3,698.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,090.17 / $2,744.59 / $3,364.52	Professional		$2,090.17	$2,744.59	$3,364.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,448.05 / $2,356.19 / $3,637.61	Facility		$1,448.05	$2,356.19	$3,637.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,963.20 / $2,337.67 / $3,925.38	Professional		$1,963.20	$2,337.67	$3,925.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,731.60 / $2,533.94 / $2,677.32	Facility		$1,731.60	$2,533.94	$2,677.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,493.74 / $2,656.56 / $3,637.61	Facility		$1,493.74	$2,656.56	$3,637.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,207.36 / $2,887.11 / $3,783.80	Professional		$2,207.36	$2,887.11	$3,783.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,855.02 / $6,855.02 / $6,855.02	Facility		$6,855.02	$6,855.02	$6,855.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,447.19 / $3,118.88 / $3,770.10	Professional		$2,447.19	$3,118.88	$3,770.10
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 $1,964.01 / $2,681.34 / $4,152.97	Professional		$1,964.01	$2,681.34	$4,152.97