Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,277.14 / $2,768.69 / $7,920.26	Facility		$2,277.14	$2,768.69	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,120.19 / $1,521.97 / $5,974.01	Professional		$1,120.19	$1,521.97	$5,974.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,544.86 / $2,393.63 / $3,384.79	Professional		$1,544.86	$2,393.63	$3,384.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,807.00 / $2,570.25 / $2,925.89	Professional		$1,807.00	$2,570.25	$2,925.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,521.97 / $2,271.46 / $3,272.24	Facility		$1,521.97	$2,271.46	$3,272.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,849.34 / $2,270.79 / $3,676.26	Professional		$1,849.34	$2,270.79	$3,676.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,657.96 / $2,194.40 / $2,306.14	Facility		$1,657.96	$2,194.40	$2,306.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,521.97 / $2,462.75 / $3,250.71	Facility		$1,521.97	$2,462.75	$3,250.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,992.90 / $2,682.42 / $3,533.57	Professional		$1,992.90	$2,682.42	$3,533.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,067.13 / $6,067.13 / $6,067.13	Facility		$6,067.13	$6,067.13	$6,067.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,112.63 / $2,779.26 / $3,661.02	Professional		$2,112.63	$2,779.26	$3,661.02
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 $1,723.29 / $2,365.31 / $3,620.51	Professional		$1,723.29	$2,365.31	$3,620.51