Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,696.42 / $3,529.71 / $7,920.26	Facility		$2,696.42	$3,529.71	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,263.39 / $1,988.53 / $7,052.83	Professional		$1,263.39	$1,988.53	$7,052.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,872.57 / $3,126.84 / $4,236.39	Professional		$1,872.57	$3,126.84	$4,236.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,294.15 / $3,276.19 / $3,688.67	Professional		$2,294.15	$3,276.19	$3,688.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,988.53 / $2,948.29 / $4,275.34	Facility		$1,988.53	$2,948.29	$4,275.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,305.66 / $2,539.53 / $4,583.37	Professional		$2,305.66	$2,539.53	$4,583.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,947.69 / $2,673.77 / $2,886.36	Facility		$1,947.69	$2,673.77	$2,886.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,988.53 / $3,270.20 / $3,837.54	Facility		$1,988.53	$3,270.20	$3,837.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,448.64 / $3,313.84 / $4,237.38	Professional		$2,448.64	$3,313.84	$4,237.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,428.20 / $7,428.20 / $7,428.20	Facility		$7,428.20	$7,428.20	$7,428.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,643.40 / $3,534.71 / $4,519.09	Professional		$2,643.40	$3,534.71	$4,519.09
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 $2,122.66 / $3,268.08 / $4,572.63	Professional		$2,122.66	$3,268.08	$4,572.63