Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,402.73 / $2,965.83 / $7,920.26	Facility		$2,402.73	$2,965.83	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,026.65 / $1,671.74 / $6,258.07	Professional		$1,026.65	$1,671.74	$6,258.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,632.44 / $2,692.56 / $3,618.84	Professional		$1,632.44	$2,692.56	$3,618.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,933.51 / $2,779.66 / $3,129.61	Professional		$1,933.51	$2,779.66	$3,129.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,671.74 / $2,396.25 / $3,594.24	Facility		$1,671.74	$2,396.25	$3,594.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,811.52 / $2,094.44 / $3,925.57	Professional		$1,811.52	$2,094.44	$3,925.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,654.08 / $2,255.17 / $2,465.60	Facility		$1,654.08	$2,255.17	$2,465.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,671.74 / $2,785.95 / $3,594.24	Facility		$1,671.74	$2,785.95	$3,594.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,080.25 / $2,853.24 / $3,638.61	Professional		$2,080.25	$2,853.24	$3,638.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,136.32 / $6,136.32 / $6,136.32	Facility		$6,136.32	$6,136.32	$6,136.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,249.78 / $3,019.44 / $3,860.32	Professional		$2,249.78	$3,019.44	$3,860.32
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 $1,861.91 / $2,863.34 / $3,891.73	Professional		$1,861.91	$2,863.34	$3,891.73