Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,654.55 / $3,243.65 / $7,920.26	Facility		$2,654.55	$3,243.65	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,192.53 / $1,827.25 / $4,744.85	Professional		$1,192.53	$1,827.25	$4,744.85
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 $1,343.67 / $2,542.55 / $3,737.99	Professional		$1,343.67	$2,542.55	$3,737.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,114.80 / $2,776.92 / $3,400.12	Professional		$2,114.80	$2,776.92	$3,400.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,464.89 / $2,383.90 / $3,677.41	Facility		$1,464.89	$2,383.90	$3,677.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,977.60 / $2,387.54 / $3,971.55	Professional		$1,977.60	$2,387.54	$3,971.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,777.60 / $2,563.42 / $2,708.81	Facility		$1,777.60	$2,563.42	$2,708.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,514.86 / $2,684.10 / $3,677.41	Facility		$1,514.86	$2,684.10	$3,677.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,235.52 / $2,918.13 / $3,823.75	Professional		$2,235.52	$2,918.13	$3,823.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,862.11 / $6,862.11 / $6,862.11	Facility		$6,862.11	$6,862.11	$6,862.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,474.88 / $3,155.56 / $3,812.74	Professional		$2,474.88	$3,155.56	$3,812.74
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 $2,003.28 / $2,816.07 / $4,168.85	Professional		$2,003.28	$2,816.07	$4,168.85