Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,500.13 / $3,035.29 / $7,920.26	Facility		$2,500.13	$3,035.29	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,181.49 / $1,669.33 / $6,548.10	Professional		$1,181.49	$1,669.33	$6,548.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,687.30 / $2,617.11 / $3,726.02	Professional		$1,687.30	$2,617.11	$3,726.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,974.37 / $2,804.26 / $3,192.28	Professional		$1,974.37	$2,804.26	$3,192.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,669.33 / $2,416.17 / $3,796.81	Facility		$1,669.33	$2,416.17	$3,796.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,028.66 / $2,625.28 / $4,032.73	Professional		$2,028.66	$2,625.28	$4,032.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,783.60 / $2,405.13 / $2,623.72	Facility		$1,783.60	$2,405.13	$2,623.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,669.33 / $2,622.56 / $3,589.06	Facility		$1,669.33	$2,622.56	$3,589.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,174.77 / $2,939.82 / $3,872.65	Professional		$2,174.77	$2,939.82	$3,872.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,954.39 / $6,954.39 / $6,954.39	Facility		$6,954.39	$6,954.39	$6,954.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,319.89 / $3,051.93 / $4,020.20	Professional		$2,319.89	$3,051.93	$4,020.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $8,571.00 / $36,803.00	Facility		$2,364.00	$8,571.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,930.25 / $2,987.57 / $4,186.93	Professional		$1,930.25	$2,987.57	$4,186.93