Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,276.30 / $2,778.40 / $7,920.26	Facility		$2,276.30	$2,778.40	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,024.38 / $1,574.63 / $4,073.07	Professional		$1,024.38	$1,574.63	$4,073.07
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 $1,148.75 / $2,173.12 / $3,201.20	Professional		$1,148.75	$2,173.12	$3,201.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,809.50 / $2,376.04 / $2,917.50	Professional		$1,809.50	$2,376.04	$2,917.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,251.89 / $2,039.80 / $3,148.89	Facility		$1,251.89	$2,039.80	$3,148.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,692.00 / $2,021.53 / $3,394.92	Professional		$1,692.00	$2,021.53	$3,394.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,518.46 / $2,191.57 / $2,315.52	Facility		$1,518.46	$2,191.57	$2,315.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,291.88 / $2,297.14 / $3,148.89	Facility		$1,291.88	$2,297.14	$3,148.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,910.43 / $2,499.07 / $3,269.68	Professional		$1,910.43	$2,499.07	$3,269.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,793.85 / $5,793.85 / $5,793.85	Facility		$5,793.85	$5,793.85	$5,793.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,116.92 / $2,697.41 / $3,261.30	Professional		$2,116.92	$2,697.41	$3,261.30
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 $1,698.80 / $2,350.61 / $3,565.92	Professional		$1,698.80	$2,350.61	$3,565.92