Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,186.31 / $2,747.00 / $7,920.26	Facility		$2,186.31	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,140.38 / $1,445.82 / $5,736.76	Professional		$1,140.38	$1,445.82	$5,736.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,489.51 / $2,421.96 / $3,283.50	Professional		$1,489.51	$2,421.96	$3,283.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,728.82 / $2,434.78 / $2,771.67	Professional		$1,728.82	$2,434.78	$2,771.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,445.82 / $2,254.76 / $3,644.09	Facility		$1,445.82	$2,254.76	$3,644.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,786.36 / $2,317.86 / $3,551.06	Professional		$1,786.36	$2,317.86	$3,551.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,624.53 / $2,106.01 / $2,248.08	Facility		$1,624.53	$2,106.01	$2,248.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,445.82 / $2,409.46 / $3,154.95	Facility		$1,445.82	$2,409.46	$3,154.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,912.29 / $2,601.30 / $3,421.66	Professional		$1,912.29	$2,601.30	$3,421.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,964.19 / $5,964.19 / $5,964.19	Facility		$5,964.19	$5,964.19	$5,964.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,043.13 / $2,687.83 / $3,540.59	Professional		$2,043.13	$2,687.83	$3,540.59
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 $1,716.01 / $2,574.36 / $3,687.41	Professional		$1,716.01	$2,574.36	$3,687.41