Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,681.87 / $3,238.19 / $7,920.26	Facility		$2,681.87	$3,238.19	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,308.34 / $1,787.12 / $7,025.34	Professional		$1,308.34	$1,787.12	$7,025.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.41 / $2,816.29 / $3,966.95	Professional		$1,819.41	$2,816.29	$3,966.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,110.32 / $2,991.57 / $3,405.51	Professional		$2,110.32	$2,991.57	$3,405.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,787.12 / $2,656.00 / $3,842.31	Facility		$1,787.12	$2,656.00	$3,842.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,099.16 / $2,660.64 / $4,302.21	Professional		$2,099.16	$2,660.64	$4,302.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,788.77 / $2,449.38 / $2,702.78	Facility		$1,788.77	$2,449.38	$2,702.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,787.12 / $2,887.57 / $3,829.21	Facility		$1,787.12	$2,887.57	$3,829.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,343.36 / $3,140.03 / $4,152.96	Professional		$2,343.36	$3,140.03	$4,152.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,588.82 / $6,588.82 / $6,588.82	Facility		$6,588.82	$6,588.82	$6,588.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,479.19 / $3,261.48 / $4,296.24	Professional		$2,479.19	$3,261.48	$4,296.24
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 $2,073.76 / $2,791.60 / $4,288.57	Professional		$2,073.76	$2,791.60	$4,288.57