Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,962.82 / $2,747.00 / $7,920.26	Facility		$1,962.82	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,097.21 / $1,298.33 / $5,153.75	Professional		$1,097.21	$1,298.33	$5,153.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,339.06 / $2,174.64 / $2,947.19	Professional		$1,339.06	$2,174.64	$2,947.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,553.40 / $2,188.27 / $2,491.06	Professional		$1,553.40	$2,188.27	$2,491.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,298.33 / $2,024.75 / $3,283.10	Facility		$1,298.33	$2,024.75	$3,283.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,604.89 / $2,120.36 / $3,190.32	Professional		$1,604.89	$2,120.36	$3,190.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,517.10 / $1,959.76 / $2,336.29	Facility		$1,517.10	$1,959.76	$2,336.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,298.33 / $2,225.07 / $3,283.10	Facility		$1,298.33	$2,225.07	$3,283.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,756.16 / $2,335.32 / $3,072.49	Professional		$1,756.16	$2,335.32	$3,072.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,954.82 / $17,563.07 / $20,571.93	Facility		$12,954.82	$17,563.07	$20,571.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,834.02 / $2,412.73 / $3,178.22	Professional		$1,834.02	$2,412.73	$3,178.22
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,541.29 / $2,310.69 / $3,143.04	Professional		$1,541.29	$2,310.69	$3,143.04