Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,466.16 / $3,016.09 / $7,920.26	Facility		$2,466.16	$3,016.09	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,109.13 / $1,856.55 / $3,873.60	Professional		$1,109.13	$1,856.55	$3,873.60
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 $1,248.58 / $2,360.78 / $3,475.17	Professional		$1,248.58	$2,360.78	$3,475.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,965.71 / $2,581.16 / $3,163.05	Professional		$1,965.71	$2,581.16	$3,163.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,361.05 / $2,215.88 / $3,412.69	Facility		$1,361.05	$2,215.88	$3,412.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,845.60 / $2,198.52 / $3,690.60	Professional		$1,845.60	$2,198.52	$3,690.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,651.86 / $2,377.83 / $2,517.19	Facility		$1,651.86	$2,377.83	$2,517.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,424.76 / $2,493.85 / $3,412.69	Facility		$1,424.76	$2,493.85	$3,412.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,074.88 / $2,712.95 / $3,550.11	Professional		$2,074.88	$2,712.95	$3,550.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,411.39 / $6,411.39 / $6,411.39	Facility		$6,411.39	$6,411.39	$6,411.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,300.82 / $2,932.34 / $3,544.60	Professional		$2,300.82	$2,932.34	$3,544.60
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 $1,750.08 / $2,552.21 / $3,904.58	Professional		$1,750.08	$2,552.21	$3,904.58