Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,577.83 / $3,142.42 / $7,920.26	Facility		$2,577.83	$3,142.42	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,153.52 / $1,771.34 / $4,683.87	Professional		$1,153.52	$1,771.34	$4,683.87
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 $1,301.95 / $2,467.87 / $3,630.26	Professional		$1,301.95	$2,467.87	$3,630.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,048.26 / $2,689.55 / $3,289.20	Professional		$2,048.26	$2,689.55	$3,289.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,423.85 / $2,308.94 / $3,579.30	Facility		$1,423.85	$2,308.94	$3,579.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.40 / $2,294.60 / $3,850.71	Professional		$1,949.40	$2,294.60	$3,850.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,838.48 / $2,495.16 / $2,626.40	Facility		$1,838.48	$2,495.16	$2,626.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,520.28 / $2,600.37 / $3,579.30	Facility		$1,520.28	$2,600.37	$3,579.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,189.44 / $2,832.20 / $3,713.55	Professional		$2,189.44	$2,832.20	$3,713.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,689.98 / $6,689.98 / $6,689.98	Facility		$6,689.98	$6,689.98	$6,689.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,401.69 / $3,059.56 / $3,699.99	Professional		$2,401.69	$3,059.56	$3,699.99
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 $1,873.76 / $2,608.90 / $4,123.81	Professional		$1,873.76	$2,608.90	$4,123.81