Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,179.96 / $2,747.00 / $7,920.26	Facility		$2,179.96	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $986.83 / $1,498.65 / $3,447.17	Professional		$986.83	$1,498.65	$3,447.17
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 $1,111.32 / $2,104.81 / $3,057.25	Professional		$1,111.32	$2,104.81	$3,057.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,749.10 / $2,296.73 / $2,811.96	Professional		$1,749.10	$2,296.73	$2,811.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,196.47 / $1,971.60 / $3,005.42	Facility		$1,196.47	$1,971.60	$3,005.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,653.60 / $1,957.48 / $3,285.87	Professional		$1,653.60	$1,957.48	$3,285.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,482.75 / $2,113.85 / $2,241.15	Facility		$1,482.75	$2,113.85	$2,241.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,297.13 / $2,211.17 / $3,005.42	Facility		$1,297.13	$2,211.17	$3,005.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,843.98 / $2,399.87 / $3,127.40	Professional		$1,843.98	$2,399.87	$3,127.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,701.56 / $5,701.56 / $5,701.56	Facility		$5,701.56	$5,701.56	$5,701.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,049.28 / $2,599.04 / $3,157.07	Professional		$2,049.28	$2,599.04	$3,157.07
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 $1,578.29 / $2,254.71 / $3,473.54	Professional		$1,578.29	$2,254.71	$3,473.54