Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,587.46 / $3,143.00 / $7,920.26	Facility		$2,587.46	$3,143.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,193.92 / $1,909.98 / $6,776.54	Professional		$1,193.92	$1,909.98	$6,776.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,802.88 / $2,872.16 / $3,858.78	Professional		$1,802.88	$2,872.16	$3,858.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,044.69 / $2,903.02 / $3,268.51	Professional		$2,044.69	$2,903.02	$3,268.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,909.98 / $2,786.70 / $4,106.46	Facility		$1,909.98	$2,786.70	$4,106.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,025.79 / $2,356.86 / $4,177.01	Professional		$2,025.79	$2,356.86	$4,177.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,872.11 / $2,490.80 / $2,629.08	Facility		$1,872.11	$2,490.80	$2,629.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,909.98 / $2,978.61 / $3,693.14	Facility		$1,909.98	$2,978.61	$3,693.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,297.44 / $3,053.00 / $3,887.29	Professional		$2,297.44	$3,053.00	$3,887.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,904.73 / $6,904.73 / $6,904.73	Facility		$6,904.73	$6,904.73	$6,904.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,403.54 / $3,219.64 / $4,116.28	Professional		$2,403.54	$3,219.64	$4,116.28
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 $2,037.32 / $3,025.39 / $4,157.71	Professional		$2,037.32	$3,025.39	$4,157.71