Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,676.53 / $3,265.76 / $7,920.26	Facility		$2,676.53	$3,265.76	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,204.51 / $1,845.99 / $4,814.64	Professional		$1,204.51	$1,845.99	$4,814.64
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 $1,351.27 / $2,558.61 / $3,766.77	Professional		$1,351.27	$2,558.61	$3,766.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,127.29 / $2,793.33 / $3,423.72	Professional		$2,127.29	$2,793.33	$3,423.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,474.85 / $2,398.04 / $3,703.33	Facility		$1,474.85	$2,398.04	$3,703.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,001.00 / $2,379.60 / $3,996.09	Professional		$2,001.00	$2,379.60	$3,996.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,753.65 / $2,580.17 / $2,725.56	Facility		$1,753.65	$2,580.17	$2,725.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,581.10 / $2,706.83 / $3,703.33	Facility		$1,581.10	$2,706.83	$3,703.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,249.60 / $2,940.60 / $3,850.98	Professional		$2,249.60	$2,940.60	$3,850.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,981.01 / $6,981.01 / $6,981.01	Facility		$6,981.01	$6,981.01	$6,981.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,492.10 / $3,175.07 / $3,839.27	Professional		$2,492.10	$3,175.07	$3,839.27
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 $1,977.49 / $2,894.04 / $4,483.53	Professional		$1,977.49	$2,894.04	$4,483.53