Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,528.71 / $3,085.45 / $7,920.26	Facility		$2,528.71	$3,085.45	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,244.70 / $1,691.86 / $6,625.24	Professional		$1,244.70	$1,691.86	$6,625.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,705.76 / $2,666.48 / $3,782.08	Professional		$1,705.76	$2,666.48	$3,782.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,008.32 / $2,859.21 / $3,254.83	Professional		$2,008.32	$2,859.21	$3,254.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,691.86 / $2,517.89 / $3,637.50	Facility		$1,691.86	$2,517.89	$3,637.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,060.14 / $2,507.46 / $4,095.31	Professional		$2,060.14	$2,507.46	$4,095.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,828.02 / $2,446.48 / $2,593.52	Facility		$1,828.02	$2,446.48	$2,593.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,691.86 / $2,729.93 / $3,567.26	Facility		$1,691.86	$2,729.93	$3,567.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,201.25 / $2,974.92 / $3,918.89	Professional		$2,201.25	$2,974.92	$3,918.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,727.25 / $6,727.25 / $6,727.25	Facility		$6,727.25	$6,727.25	$6,727.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,350.64 / $3,092.38 / $4,073.49	Professional		$2,350.64	$3,092.38	$4,073.49
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 $1,910.47 / $2,884.21 / $4,066.23	Professional		$1,910.47	$2,884.21	$4,066.23