Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,595.14 / $3,166.90 / $7,920.26	Facility		$2,595.14	$3,166.90	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,165.88 / $1,790.63 / $4,653.14	Professional		$1,165.88	$1,790.63	$4,653.14
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 $1,309.93 / $2,476.12 / $3,653.47	Professional		$1,309.93	$2,476.12	$3,653.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,062.53 / $2,708.29 / $3,320.41	Professional		$2,062.53	$2,708.29	$3,320.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,430.43 / $2,325.03 / $3,588.55	Facility		$1,430.43	$2,325.03	$3,588.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,932.00 / $2,306.23 / $3,874.29	Professional		$1,932.00	$2,306.23	$3,874.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,775.63 / $2,499.77 / $2,642.48	Facility		$1,775.63	$2,499.77	$2,642.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,532.53 / $2,619.58 / $3,588.55	Facility		$1,532.53	$2,619.58	$3,588.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,175.98 / $2,850.26 / $3,734.14	Professional		$2,175.98	$2,850.26	$3,734.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,698.85 / $6,698.85 / $6,698.85	Facility		$6,698.85	$6,698.85	$6,698.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,415.21 / $3,078.29 / $3,720.83	Professional		$2,415.21	$3,078.29	$3,720.83
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 $1,879.15 / $2,737.28 / $4,139.06	Professional		$1,879.15	$2,737.28	$4,139.06