Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,073.79 / $2,747.00 / $7,920.26	Facility		$2,073.79	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,132.66 / $1,371.27 / $5,442.54	Professional		$1,132.66	$1,371.27	$5,442.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,415.74 / $2,296.57 / $3,113.38	Professional		$1,415.74	$2,296.57	$3,113.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,639.06 / $2,308.11 / $2,627.48	Professional		$1,639.06	$2,308.11	$2,627.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.94 / $2,062.87 / $3,462.67	Facility		$1,000.94	$2,062.87	$3,462.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,667.19 / $2,197.21 / $3,366.43	Professional		$1,667.19	$2,197.21	$3,366.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,272.33 / $1,996.68 / $2,135.29	Facility		$1,272.33	$1,996.68	$2,135.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,000.94 / $2,303.37 / $3,462.67	Facility		$1,000.94	$2,303.37	$3,462.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,817.50 / $2,467.92 / $3,245.53	Professional		$1,817.50	$2,467.92	$3,245.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,578.09 / $2,064.48 / $2,604.89	Facility		$1,578.09	$2,064.48	$2,604.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,937.96 / $2,549.46 / $3,358.34	Professional		$1,937.96	$2,549.46	$3,358.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,596.82 / $2,215.48 / $3,321.17	Professional		$1,596.82	$2,215.48	$3,321.17