Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,327.44 / $2,847.56 / $7,920.26	Facility		$2,327.44	$2,847.56	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,050.28 / $1,605.51 / $4,200.89	Professional		$1,050.28	$1,605.51	$4,200.89
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 $1,179.22 / $2,232.30 / $3,279.21	Professional		$1,179.22	$2,232.30	$3,279.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,856.67 / $2,437.96 / $2,989.18	Professional		$1,856.67	$2,437.96	$2,989.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,283.92 / $2,092.96 / $3,219.24	Facility		$1,283.92	$2,092.96	$3,219.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,749.60 / $2,076.26 / $3,483.33	Professional		$1,749.60	$2,076.26	$3,483.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,533.07 / $2,242.48 / $2,375.82	Facility		$1,533.07	$2,242.48	$2,375.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,326.30 / $2,359.44 / $3,219.24	Facility		$1,326.30	$2,359.44	$3,219.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,962.88 / $2,559.98 / $3,347.58	Professional		$1,962.88	$2,559.98	$3,347.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,028.08 / $6,028.08 / $6,028.08	Facility		$6,028.08	$6,028.08	$6,028.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,171.05 / $2,767.65 / $3,344.68	Professional		$2,171.05	$2,767.65	$3,344.68
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 $1,738.59 / $2,454.46 / $3,684.36	Professional		$1,738.59	$2,454.46	$3,684.36