Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,286.15 / $2,791.66 / $7,920.26	Facility		$2,286.15	$2,791.66	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,022.57 / $1,580.63 / $4,091.39	Professional		$1,022.57	$1,580.63	$4,091.39
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 $1,154.71 / $2,177.41 / $3,215.13	Professional		$1,154.71	$2,177.41	$3,215.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,818.84 / $2,388.30 / $2,931.75	Professional		$1,818.84	$2,388.30	$2,931.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,257.35 / $2,050.33 / $3,153.52	Facility		$1,257.35	$2,050.33	$3,153.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.00 / $2,032.00 / $3,411.63	Professional		$1,698.00	$2,032.00	$3,411.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,449.91 / $2,194.92 / $2,326.91	Facility		$1,449.91	$2,194.92	$2,326.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,335.82 / $2,295.14 / $3,153.52	Facility		$1,335.82	$2,295.14	$3,153.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,914.21 / $2,509.23 / $3,282.34	Professional		$1,914.21	$2,509.23	$3,282.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,919.83 / $5,919.83 / $5,919.83	Facility		$5,919.83	$5,919.83	$5,919.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,128.00 / $2,710.68 / $3,278.35	Professional		$2,128.00	$2,710.68	$3,278.35
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 $1,670.00 / $2,359.69 / $3,611.30	Professional		$1,670.00	$2,359.69	$3,611.30