Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,582.57 / $3,109.06 / $7,920.26	Facility		$2,582.57	$3,109.06	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,293.72 / $1,715.79 / $6,768.27	Professional		$1,293.72	$1,715.79	$6,768.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,761.74 / $2,752.78 / $3,815.51	Professional		$1,761.74	$2,752.78	$3,815.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,026.12 / $2,863.41 / $3,259.61	Professional		$2,026.12	$2,863.41	$3,259.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,715.79 / $2,550.02 / $3,770.89	Facility		$1,715.79	$2,550.02	$3,770.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,081.48 / $2,609.58 / $4,137.75	Professional		$2,081.48	$2,609.58	$4,137.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,882.77 / $2,468.19 / $2,633.10	Facility		$1,882.77	$2,468.19	$2,633.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,715.79 / $2,834.31 / $3,688.95	Facility		$1,715.79	$2,834.31	$3,688.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,265.81 / $3,038.88 / $3,995.37	Professional		$2,265.81	$3,038.88	$3,995.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,920.69 / $6,920.69 / $6,920.69	Facility		$6,920.69	$6,920.69	$6,920.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,386.31 / $3,139.31 / $4,135.30	Professional		$2,386.31	$3,139.31	$4,135.30
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 $2,005.12 / $2,818.08 / $4,127.92	Professional		$2,005.12	$2,818.08	$4,127.92