Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,462.44 / $2,988.37 / $7,920.26	Facility		$2,462.44	$2,988.37	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,303.54 / $1,644.33 / $6,448.80	Professional		$1,303.54	$1,644.33	$6,448.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,660.65 / $2,733.04 / $3,668.00	Professional		$1,660.65	$2,733.04	$3,668.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,943.61 / $2,760.86 / $3,142.88	Professional		$1,943.61	$2,760.86	$3,142.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,644.33 / $2,446.17 / $3,758.86	Facility		$1,644.33	$2,446.17	$3,758.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,996.63 / $2,589.28 / $3,969.06	Professional		$1,996.63	$2,589.28	$3,969.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,810.06 / $2,367.66 / $2,582.85	Facility		$1,810.06	$2,367.66	$2,582.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,644.33 / $2,740.28 / $3,535.31	Facility		$1,644.33	$2,740.28	$3,535.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,140.60 / $2,904.06 / $3,815.11	Professional		$2,140.60	$2,904.06	$3,815.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,555.12 / $6,555.12 / $6,555.12	Facility		$6,555.12	$6,555.12	$6,555.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,284.84 / $3,005.81 / $3,959.45	Professional		$2,284.84	$3,005.81	$3,959.45
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 $1,900.60 / $2,938.37 / $3,952.39	Professional		$1,900.60	$2,938.37	$3,952.39