Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,710.13 / $3,398.10 / $7,920.26	Facility		$2,710.13	$3,398.10	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,249.32 / $1,826.33 / $4,364.22	Professional		$1,249.32	$1,826.33	$4,364.22
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 $1,693.53 / $2,620.40 / $4,246.22	Professional		$1,693.53	$2,620.40	$4,246.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,555.52 / $3,001.82 / $3,591.15	Professional		$2,555.52	$3,001.82	$3,591.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,772.37 / $2,499.84 / $3,376.08	Facility		$1,772.37	$2,499.84	$3,376.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,130.78 / $2,508.52 / $3,793.85	Professional		$2,130.78	$2,508.52	$3,793.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,992.34 / $2,680.67 / $2,893.06	Facility		$1,992.34	$2,680.67	$2,893.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,772.37 / $2,502.07 / $3,669.24	Facility		$1,772.37	$2,502.07	$3,669.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,449.17 / $2,860.62 / $3,951.02	Professional		$2,449.17	$2,860.62	$3,951.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,215.24 / $7,215.24 / $7,215.24	Facility		$7,215.24	$7,215.24	$7,215.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,630.48 / $3,370.20 / $4,529.58	Professional		$2,630.48	$3,370.20	$4,529.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,960.48 / $2,800.69 / $4,430.97	Professional		$1,960.48	$2,800.69	$4,430.97