Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,526.29 / $4,299.47 / $7,920.26	Facility		$3,526.29	$4,299.47	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,590.11 / $2,419.81 / $6,383.60	Professional		$1,590.11	$2,419.81	$6,383.60
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 $1,781.36 / $3,374.47 / $4,968.50	Professional		$1,781.36	$3,374.47	$4,968.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,802.01 / $3,679.29 / $4,496.14	Professional		$2,802.01	$3,679.29	$4,496.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,949.85 / $3,158.90 / $4,895.50	Facility		$1,949.85	$3,158.90	$4,895.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,664.60 / $3,156.75 / $5,271.15	Professional		$2,664.60	$3,156.75	$5,271.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,231.66 / $3,413.35 / $3,595.22	Facility		$2,231.66	$3,413.35	$3,595.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,016.00 / $3,585.83 / $4,895.50	Facility		$2,016.00	$3,585.83	$4,895.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,994.38 / $3,878.75 / $5,082.50	Professional		$2,994.38	$3,878.75	$5,082.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,215.16 / $9,215.16 / $9,215.16	Facility		$9,215.16	$9,215.16	$9,215.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,287.95 / $4,188.16 / $5,065.34	Professional		$3,287.95	$4,188.16	$5,065.34
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 $2,565.63 / $3,665.20 / $5,634.69	Professional		$2,565.63	$3,665.20	$5,634.69