Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,705.66 / $3,308.17 / $7,920.26	Facility		$2,705.66	$3,308.17	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,214.54 / $1,806.72 / $7,101.58	Professional		$1,214.54	$1,806.72	$7,101.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,822.07 / $2,876.15 / $4,057.42	Professional		$1,822.07	$2,876.15	$4,057.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,137.48 / $3,036.68 / $3,456.85	Professional		$2,137.48	$3,036.68	$3,456.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,806.72 / $2,690.17 / $3,884.45	Facility		$1,806.72	$2,690.17	$3,884.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,160.00 / $2,821.41 / $4,360.56	Professional		$2,160.00	$2,821.41	$4,360.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,950.60 / $2,603.85 / $2,764.42	Facility		$1,950.60	$2,603.85	$2,764.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,806.72 / $2,952.55 / $3,879.19	Facility		$1,806.72	$2,952.55	$3,879.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,351.28 / $3,185.52 / $4,195.18	Professional		$2,351.28	$3,185.52	$4,195.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,170.88 / $7,170.88 / $7,170.88	Facility		$7,170.88	$7,170.88	$7,170.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,505.02 / $3,295.46 / $4,341.00	Professional		$2,505.02	$3,295.46	$4,341.00
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 $2,090.92 / $2,903.04 / $4,333.27	Professional		$2,090.92	$2,903.04	$4,333.27