Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,080.41 / $2,747.00 / $7,920.26	Facility		$1,080.41	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $988.98 / $1,359.66 / $5,954.09	Professional		$988.98	$1,359.66	$5,954.09
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 $1,109.10 / $1,109.10 / $1,109.10	Professional		$1,109.10	$1,109.10	$1,109.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,940.78 / $2,548.42 / $3,125.59	Professional		$1,940.78	$2,548.42	$3,125.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,203.88 / $2,110.02 / $3,033.65	Facility		$1,203.88	$2,110.02	$3,033.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,808.33 / $2,125.34 / $3,643.44	Professional		$1,808.33	$2,125.34	$3,643.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,678.54 / $2,237.87 / $2,485.03	Facility		$1,678.54	$2,237.87	$2,485.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,219.05 / $2,213.37 / $3,169.82	Facility		$1,219.05	$2,213.37	$3,169.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,109.10 / $2,596.88 / $3,398.48	Professional		$1,109.10	$2,596.88	$3,398.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,354.59 / $6,354.59 / $6,354.59	Facility		$6,354.59	$6,354.59	$6,354.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,000.84 / $2,857.41 / $3,501.01	Professional		$2,000.84	$2,857.41	$3,501.01
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 $1,679.08 / $2,436.27 / $3,828.01	Professional		$1,679.08	$2,436.27	$3,828.01