Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,464.96 / $3,035.72 / $7,920.26	Facility		$2,464.96	$3,035.72	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,146.77 / $1,665.58 / $3,898.82	Professional		$1,146.77	$1,665.58	$3,898.82
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 $1,492.06 / $2,396.37 / $3,673.91	Professional		$1,492.06	$2,396.37	$3,673.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,285.09 / $2,685.65 / $3,211.13	Professional		$2,285.09	$2,685.65	$3,211.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,665.58 / $2,248.53 / $3,060.00	Facility		$1,665.58	$2,248.53	$3,060.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,972.48 / $2,192.71 / $3,289.06	Professional		$1,972.48	$2,192.71	$3,289.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,793.89 / $2,403.85 / $2,503.12	Facility		$1,793.89	$2,403.85	$2,503.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,665.58 / $2,281.84 / $3,182.69	Facility		$1,665.58	$2,281.84	$3,182.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,209.02 / $2,549.94 / $3,432.83	Professional		$2,209.02	$2,549.94	$3,432.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,496.59 / $6,496.59 / $6,496.59	Facility		$6,496.59	$6,496.59	$6,496.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,281.15 / $2,915.95 / $3,919.06	Professional		$2,281.15	$2,915.95	$3,919.06
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $51,981.00	Facility		$3,340.00	$26,100.00	$51,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,765.47 / $2,541.00 / $3,885.48	Professional		$1,765.47	$2,541.00	$3,885.48