Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,711.89 / $3,780.49 / $7,920.26	Facility		$2,711.89	$3,780.49	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.31 / $1,659.22 / $6,503.63	Professional		$1,258.31	$1,659.22	$6,503.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,674.57 / $2,612.55 / $3,709.31	Professional		$1,674.57	$2,612.55	$3,709.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,970.01 / $2,802.88 / $3,190.70	Professional		$1,970.01	$2,802.88	$3,190.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,659.22 / $2,479.40 / $3,763.49	Facility		$1,659.22	$2,479.40	$3,763.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,022.26 / $2,601.44 / $4,020.00	Professional		$2,022.26	$2,601.44	$4,020.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,855.23 / $2,399.84 / $2,594.91	Facility		$1,855.23	$2,399.84	$2,594.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,659.22 / $2,765.09 / $3,567.32	Facility		$1,659.22	$2,765.09	$3,567.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,160.25 / $2,919.54 / $3,845.93	Professional		$2,160.25	$2,919.54	$3,845.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,604.83 / $6,604.83 / $6,604.83	Facility		$6,604.83	$6,604.83	$6,604.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,306.98 / $3,034.93 / $3,997.82	Professional		$2,306.98	$3,034.93	$3,997.82
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 $1,876.80 / $2,910.57 / $3,990.69	Professional		$1,876.80	$2,910.57	$3,990.69