Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,215.00 / $3,923.86 / $7,920.26	Facility		$3,215.00	$3,923.86	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,450.40 / $2,208.81 / $5,039.47	Professional		$1,450.40	$2,208.81	$5,039.47
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 $1,625.22 / $3,074.07 / $4,530.16	Professional		$1,625.22	$3,074.07	$4,530.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,556.98 / $3,357.56 / $4,106.17	Professional		$2,556.98	$3,357.56	$4,106.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,776.64 / $2,882.42 / $4,460.47	Facility		$1,776.64	$2,882.42	$4,460.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,430.00 / $2,874.93 / $4,808.49	Professional		$2,430.00	$2,874.93	$4,808.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,273.84 / $3,111.48 / $3,279.65	Facility		$2,273.84	$3,111.48	$3,279.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,836.64 / $3,267.82 / $4,460.47	Facility		$1,836.64	$3,267.82	$4,460.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,727.81 / $3,536.55 / $4,634.10	Professional		$2,727.81	$3,536.55	$4,634.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,372.26 / $8,372.26 / $8,372.26	Facility		$8,372.26	$8,372.26	$8,372.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,997.66 / $3,820.55 / $4,618.12	Professional		$2,997.66	$3,820.55	$4,618.12
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 $2,303.10 / $3,314.50 / $5,087.10	Professional		$2,303.10	$3,314.50	$5,087.10