Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,833.31 / $7,920.26	Facility		$2,747.00	$3,833.31	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,402.91 / $2,059.80 / $4,923.18	Professional		$1,402.91	$2,059.80	$4,923.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $2,211.00 / $2,211.00	Facility		$2,211.00	$2,211.00	$2,211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,910.70 / $2,955.76 / $4,789.06	Professional		$1,910.70	$2,955.76	$4,789.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,880.74 / $3,383.32 / $4,048.17	Professional		$2,880.74	$3,383.32	$4,048.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,983.97 / $2,816.64 / $3,842.85	Facility		$1,983.97	$2,816.64	$3,842.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,415.36 / $2,834.21 / $4,275.07	Professional		$2,415.36	$2,834.21	$4,275.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,272.13 / $3,044.75 / $3,262.90	Facility		$2,272.13	$3,044.75	$3,262.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,983.97 / $2,817.28 / $4,137.76	Facility		$1,983.97	$2,817.28	$4,137.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,750.35 / $3,256.17 / $4,455.53	Professional		$2,750.35	$3,256.17	$4,455.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,347.37 / $8,347.37 / $8,347.37	Facility		$8,347.37	$8,347.37	$8,347.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,965.67 / $3,801.04 / $5,108.63	Professional		$2,965.67	$3,801.04	$5,108.63
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $8,571.00 / $36,803.00	Facility		$2,364.00	$8,571.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,190.71 / $3,198.71 / $4,995.59	Professional		$2,190.71	$3,198.71	$4,995.59