Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,568.52 / $3,134.05 / $7,920.26	Facility		$2,568.52	$3,134.05	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,176.33 / $1,718.29 / $6,732.16	Professional		$1,176.33	$1,718.29	$6,732.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,733.75 / $2,708.10 / $3,842.06	Professional		$1,733.75	$2,708.10	$3,842.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,040.53 / $2,904.64 / $3,306.55	Professional		$2,040.53	$2,904.64	$3,306.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,718.29 / $2,545.67 / $3,694.32	Facility		$1,718.29	$2,545.67	$3,694.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,093.77 / $2,633.73 / $4,162.16	Professional		$2,093.77	$2,633.73	$4,162.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,857.57 / $2,455.69 / $2,617.69	Facility		$1,857.57	$2,455.69	$2,617.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,718.29 / $2,761.09 / $3,626.50	Facility		$1,718.29	$2,761.09	$3,626.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,237.07 / $3,016.22 / $3,980.54	Professional		$2,237.07	$3,016.22	$3,980.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,835.49 / $6,835.49 / $6,835.49	Facility		$6,835.49	$6,835.49	$6,835.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,388.16 / $3,141.74 / $4,138.50	Professional		$2,388.16	$3,141.74	$4,138.50
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 $1,979.64 / $2,664.90 / $4,092.68	Professional		$1,979.64	$2,664.90	$4,092.68