Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,173.13 / $2,747.00 / $7,920.26	Facility		$2,173.13	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $971.20 / $1,504.61 / $3,870.96	Professional		$971.20	$1,504.61	$3,870.96
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 $1,096.95 / $2,073.14 / $3,052.61	Professional		$1,096.95	$2,073.14	$3,052.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,728.14 / $2,269.19 / $2,787.76	Professional		$1,728.14	$2,269.19	$2,787.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,193.08 / $1,948.09 / $2,953.59	Facility		$1,193.08	$1,948.09	$2,953.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,608.44 / $1,922.05 / $3,239.70	Professional		$1,608.44	$1,922.05	$3,239.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,438.68 / $2,077.67 / $2,209.66	Facility		$1,438.68	$2,077.67	$2,209.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,239.43 / $2,177.78 / $2,953.59	Facility		$1,239.43	$2,177.78	$2,953.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,822.54 / $2,382.80 / $3,116.81	Professional		$1,822.54	$2,382.80	$3,116.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,600.41 / $5,600.41 / $5,600.41	Facility		$5,600.41	$5,600.41	$5,600.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,020.37 / $2,574.09 / $3,112.54	Professional		$2,020.37	$2,574.09	$3,112.54
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 $1,603.50 / $2,293.52 / $3,428.63	Professional		$1,603.50	$2,293.52	$3,428.63