Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,599.23 / $3,164.52 / $7,920.26	Facility		$2,599.23	$3,164.52	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,156.77 / $1,915.09 / $4,064.24	Professional		$1,156.77	$1,915.09	$4,064.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,812.53 / $2,885.41 / $3,882.38	Professional		$1,812.53	$2,885.41	$3,882.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,059.17 / $2,927.14 / $3,295.67	Professional		$2,059.17	$2,927.14	$3,295.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,920.78 / $2,802.37 / $4,129.68	Facility		$1,920.78	$2,802.37	$4,129.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,036.43 / $2,387.21 / $4,203.55	Professional		$2,036.43	$2,387.21	$4,203.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,873.56 / $2,508.46 / $2,645.16	Facility		$1,873.56	$2,508.46	$2,645.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,920.78 / $2,995.46 / $3,709.80	Facility		$1,920.78	$2,995.46	$3,709.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,309.73 / $3,077.40 / $3,906.19	Professional		$2,309.73	$3,077.40	$3,906.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,918.90 / $6,918.90 / $6,918.90	Facility		$6,918.90	$6,918.90	$6,918.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,415.21 / $3,239.33 / $4,141.45	Professional		$2,415.21	$3,239.33	$4,141.45
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 $2,005.12 / $3,043.90 / $4,177.93	Professional		$2,005.12	$3,043.90	$4,177.93