Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,914.89 / $3,553.40 / $7,920.26	Facility		$2,914.89	$3,553.40	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,312.98 / $2,008.14 / $5,265.42	Professional		$1,312.98	$2,008.14	$5,265.42
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 $1,470.38 / $2,787.67 / $4,102.96	Professional		$1,470.38	$2,787.67	$4,102.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,314.40 / $3,039.02 / $3,722.16	Professional		$2,314.40	$3,039.02	$3,722.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,607.43 / $2,608.94 / $4,034.69	Facility		$1,607.43	$2,608.94	$4,034.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,190.00 / $2,594.33 / $4,349.72	Professional		$2,190.00	$2,594.33	$4,349.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,951.50 / $2,811.32 / $2,966.76	Facility		$1,951.50	$2,811.32	$2,966.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $2,952.84 / $4,034.69	Facility		$1,664.70	$2,952.84	$4,034.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,458.88 / $3,199.23 / $4,196.64	Professional		$2,458.88	$3,199.23	$4,196.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,561.28 / $7,561.28 / $7,561.28	Facility		$7,561.28	$7,561.28	$7,561.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,712.28 / $3,456.05 / $4,178.47	Professional		$2,712.28	$3,456.05	$4,178.47
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 $2,155.00 / $3,017.00 / $4,648.16	Professional		$2,155.00	$3,017.00	$4,648.16