Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,681.25 / $3,323.64 / $7,920.26	Facility		$2,681.25	$3,323.64	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,217.17 / $1,844.42 / $4,268.60	Professional		$1,217.17	$1,844.42	$4,268.60
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 $1,375.37 / $2,599.48 / $3,774.21	Professional		$1,375.37	$2,599.48	$3,774.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,165.14 / $2,843.03 / $3,484.11	Professional		$2,165.14	$2,843.03	$3,484.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,442.03 / $2,440.71 / $3,717.21	Facility		$1,442.03	$2,440.71	$3,717.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,038.20 / $2,422.10 / $4,066.83	Professional		$2,038.20	$2,422.10	$4,066.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,821.96 / $2,614.34 / $2,773.80	Facility		$1,821.96	$2,614.34	$2,773.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,482.07 / $2,733.85 / $3,717.21	Facility		$1,482.07	$2,733.85	$3,717.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,285.44 / $2,973.30 / $3,873.15	Professional		$2,285.44	$2,973.30	$3,873.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,048.46 / $7,048.46 / $7,048.46	Facility		$7,048.46	$7,048.46	$7,048.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,536.98 / $3,214.71 / $3,908.44	Professional		$2,536.98	$3,214.71	$3,908.44
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 $1,988.99 / $2,784.60 / $4,305.38	Professional		$1,988.99	$2,784.60	$4,305.38