Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,170.92 / $2,747.00 / $7,920.26	Facility		$2,170.92	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $940.78 / $1,307.54 / $3,161.30	Professional		$940.78	$1,307.54	$3,161.30
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 $1,097.17 / $2,078.57 / $3,059.11	Professional		$1,097.17	$2,078.57	$3,059.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,726.90 / $2,267.57 / $2,776.55	Professional		$1,726.90	$2,267.57	$2,776.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,198.94 / $1,946.69 / $2,992.46	Facility		$1,198.94	$1,946.69	$2,992.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,636.80 / $1,932.44 / $3,244.62	Professional		$1,636.80	$1,932.44	$3,244.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,509.87 / $2,081.69 / $2,213.01	Facility		$1,509.87	$2,081.69	$2,213.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,273.47 / $2,195.10 / $2,992.46	Facility		$1,273.47	$2,195.10	$2,992.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,825.51 / $2,386.42 / $3,103.18	Professional		$1,825.51	$2,386.42	$3,103.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,627.02 / $5,627.02 / $5,627.02	Facility		$5,627.02	$5,627.02	$5,627.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,024.06 / $2,577.98 / $3,118.22	Professional		$2,024.06	$2,577.98	$3,118.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,345.00 / $8,571.00 / $36,803.00	Facility		$1,345.00	$8,571.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,561.63 / $2,230.91 / $3,434.91	Professional		$1,561.63	$2,230.91	$3,434.91