Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,397.06 / $2,917.48 / $7,920.26	Facility		$2,397.06	$2,917.48	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,092.61 / $1,771.13 / $6,281.77	Professional		$1,092.61	$1,771.13	$6,281.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,671.29 / $2,662.38 / $3,579.50	Professional		$1,671.29	$2,662.38	$3,579.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,899.26 / $2,699.39 / $3,039.24	Professional		$1,899.26	$2,699.39	$3,039.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,517.59 / $2,552.01 / $3,807.93	Facility		$1,517.59	$2,552.01	$3,807.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,856.40 / $2,144.40 / $3,877.81	Professional		$1,856.40	$2,144.40	$3,877.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,731.60 / $2,313.65 / $2,446.64	Facility		$1,731.60	$2,313.65	$2,446.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,771.13 / $2,762.08 / $3,382.14	Facility		$1,771.13	$2,762.08	$3,382.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,129.76 / $2,836.63 / $3,604.79	Professional		$2,129.76	$2,836.63	$3,604.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,315.59 / $6,315.59 / $6,315.59	Facility		$6,315.59	$6,315.59	$6,315.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,228.87 / $2,986.62 / $3,818.36	Professional		$2,228.87	$2,986.62	$3,818.36
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 $1,850.68 / $2,737.51 / $3,855.56	Professional		$1,850.68	$2,737.51	$3,855.56