Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,059.36 / $2,747.00 / $7,920.26	Facility		$2,059.36	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,025.52 / $1,375.49 / $5,377.25	Professional		$1,025.52	$1,375.49	$5,377.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,386.48 / $2,189.58 / $3,110.43	Professional		$1,386.48	$2,189.58	$3,110.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,650.81 / $2,347.75 / $2,672.61	Professional		$1,650.81	$2,347.75	$2,672.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,375.49 / $2,077.66 / $2,969.32	Facility		$1,375.49	$2,077.66	$2,969.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,694.55 / $2,058.96 / $3,368.56	Professional		$1,694.55	$2,058.96	$3,368.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,492.74 / $2,010.98 / $2,119.21	Facility		$1,492.74	$2,010.98	$2,119.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,375.49 / $2,252.98 / $2,957.30	Facility		$1,375.49	$2,252.98	$2,957.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,789.13 / $2,418.78 / $3,186.28	Professional		$1,789.13	$2,418.78	$3,186.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,483.29 / $5,483.29 / $5,483.29	Facility		$5,483.29	$5,483.29	$5,483.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,936.73 / $2,547.86 / $3,356.20	Professional		$1,936.73	$2,547.86	$3,356.20
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 $1,583.40 / $2,231.28 / $3,350.22	Professional		$1,583.40	$2,231.28	$3,350.22