Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,302.52 / $2,810.58 / $7,920.26	Facility		$2,302.52	$2,810.58	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,152.45 / $1,540.54 / $6,037.30	Professional		$1,152.45	$1,540.54	$6,037.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,552.77 / $2,428.91 / $3,444.78	Professional		$1,552.77	$2,428.91	$3,444.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,829.65 / $2,604.80 / $2,965.22	Professional		$1,829.65	$2,604.80	$2,965.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,540.54 / $2,302.75 / $3,312.16	Facility		$1,540.54	$2,302.75	$3,312.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,877.09 / $2,344.62 / $3,731.43	Professional		$1,877.09	$2,344.62	$3,731.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,663.77 / $2,228.85 / $2,348.71	Facility		$1,663.77	$2,228.85	$2,348.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,540.54 / $2,526.14 / $3,279.40	Facility		$1,540.54	$2,526.14	$3,279.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,003.62 / $2,708.94 / $3,568.51	Professional		$2,003.62	$2,708.94	$3,568.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,122.15 / $6,122.15 / $6,122.15	Facility		$6,122.15	$6,122.15	$6,122.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,142.15 / $2,818.10 / $3,712.18	Professional		$2,142.15	$2,818.10	$3,712.18
United Facility/Professional Facility Modifier Low / Median / High Price $3,960.00 / $30,636.00 / $55,640.00	Facility		$3,960.00	$30,636.00	$55,640.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,775.28 / $2,465.27 / $3,705.56	Professional		$1,775.28	$2,465.27	$3,705.56