Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,703.23 / $4,514.55 / $7,920.26	Facility		$3,703.23	$4,514.55	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,657.18 / $2,540.78 / $6,774.38	Professional		$1,657.18	$2,540.78	$6,774.38
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 $1,870.14 / $3,550.52 / $5,220.18	Professional		$1,870.14	$3,550.52	$5,220.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,941.54 / $3,862.50 / $4,719.54	Professional		$2,941.54	$3,862.50	$4,719.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,902.97 / $3,315.92 / $5,031.56	Facility		$1,902.97	$3,315.92	$5,031.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,783.58 / $3,294.20 / $5,535.42	Professional		$2,783.58	$3,294.20	$5,535.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,418.75 / $3,567.79 / $3,775.45	Facility		$2,418.75	$3,567.79	$3,775.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,028.62 / $3,742.37 / $5,031.56	Facility		$2,028.62	$3,742.37	$5,031.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,136.64 / $4,072.22 / $5,339.95	Professional		$3,136.64	$4,072.22	$5,339.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,630.39 / $9,630.39 / $9,630.39	Facility		$9,630.39	$9,630.39	$9,630.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,452.17 / $4,398.12 / $5,318.32	Professional		$3,452.17	$4,398.12	$5,318.32
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 $2,614.56 / $3,852.10 / $5,858.44	Professional		$2,614.56	$3,852.10	$5,858.44