Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,402.01 / $2,927.07 / $7,920.26	Facility		$2,402.01	$2,927.07	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,108.82 / $1,776.12 / $6,292.58	Professional		$1,108.82	$1,776.12	$6,292.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,674.70 / $2,667.53 / $3,589.33	Professional		$1,674.70	$2,667.53	$3,589.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,906.03 / $2,711.26 / $3,052.61	Professional		$1,906.03	$2,711.26	$3,052.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,776.12 / $2,583.23 / $3,818.66	Facility		$1,776.12	$2,583.23	$3,818.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,883.43 / $2,184.60 / $3,889.49	Professional		$1,883.43	$2,184.60	$3,889.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,730.63 / $2,321.89 / $2,445.50	Facility		$1,730.63	$2,321.89	$2,445.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,776.12 / $2,769.86 / $3,426.57	Facility		$1,776.12	$2,769.86	$3,426.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,134.10 / $2,848.30 / $3,612.75	Professional		$2,134.10	$2,848.30	$3,612.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,365.25 / $6,365.25 / $6,365.25	Facility		$6,365.25	$6,365.25	$6,365.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,233.79 / $2,994.83 / $3,828.85	Professional		$2,233.79	$2,994.83	$3,828.85
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 $1,887.33 / $2,685.87 / $3,864.07	Professional		$1,887.33	$2,685.87	$3,864.07