Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,836.58 / $7,920.26	Facility		$2,747.00	$3,836.58	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,401.70 / $1,874.90 / $4,012.34	Professional		$1,401.70	$1,874.90	$4,012.34
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 $1,906.63 / $2,960.47 / $4,792.01	Professional		$1,906.63	$2,960.47	$4,792.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,883.70 / $3,385.92 / $4,052.32	Professional		$2,883.70	$3,385.92	$4,052.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,050.27 / $2,795.04 / $3,833.50	Facility		$2,050.27	$2,795.04	$3,833.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,409.75 / $2,835.95 / $4,277.68	Professional		$2,409.75	$2,835.95	$4,277.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,242.27 / $3,040.46 / $3,264.91	Facility		$2,242.27	$3,040.46	$3,264.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,050.27 / $2,819.76 / $4,142.91	Facility		$2,050.27	$2,819.76	$4,142.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,748.34 / $3,248.30 / $4,461.07	Professional		$2,748.34	$3,248.30	$4,461.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,326.12 / $8,326.12 / $8,326.12	Facility		$8,326.12	$8,326.12	$8,326.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,968.75 / $3,803.38 / $5,111.78	Professional		$2,968.75	$3,803.38	$5,111.78
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 $2,249.58 / $3,167.79 / $4,950.93	Professional		$2,249.58	$3,167.79	$4,950.93