Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,175.07 / $2,747.00 / $7,920.26	Facility		$2,175.07	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,080.43 / $1,453.25 / $5,703.40	Professional		$1,080.43	$1,453.25	$5,703.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,473.58 / $2,311.87 / $3,229.42	Professional		$1,473.58	$2,311.87	$3,229.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,722.46 / $2,448.94 / $2,787.79	Professional		$1,722.46	$2,448.94	$2,787.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,453.25 / $2,167.84 / $3,157.22	Facility		$1,453.25	$2,167.84	$3,157.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,763.40 / $2,192.82 / $3,505.43	Professional		$1,763.40	$2,192.82	$3,505.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,565.42 / $2,098.26 / $2,218.84	Facility		$1,565.42	$2,098.26	$2,218.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,453.25 / $2,371.82 / $3,124.49	Facility		$1,453.25	$2,371.82	$3,124.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,900.77 / $2,560.73 / $3,373.28	Professional		$1,900.77	$2,560.73	$3,373.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,850.65 / $5,850.65 / $5,850.65	Facility		$5,850.65	$5,850.65	$5,850.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,013.61 / $2,648.99 / $3,489.43	Professional		$2,013.61	$2,648.99	$3,489.43
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 $1,646.28 / $2,483.69 / $3,483.21	Professional		$1,646.28	$2,483.69	$3,483.21