Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,914.98 / $2,747.00 / $7,920.26	Facility		$1,914.98	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,090.03 / $1,267.41 / $5,024.92	Professional		$1,090.03	$1,267.41	$5,024.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,303.42 / $2,124.02 / $2,875.40	Professional		$1,303.42	$2,124.02	$2,875.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,515.82 / $2,136.50 / $2,432.13	Professional		$1,515.82	$2,136.50	$2,432.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,267.41 / $1,976.53 / $3,036.89	Facility		$1,267.41	$1,976.53	$3,036.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,565.39 / $2,068.21 / $3,111.80	Professional		$1,565.39	$2,068.21	$3,111.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,563.59 / $1,875.87 / $2,223.07	Facility		$1,563.59	$1,875.87	$2,223.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,267.41 / $2,203.84 / $2,724.93	Facility		$1,267.41	$2,203.84	$2,724.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,709.67 / $2,279.94 / $2,997.30	Professional		$1,709.67	$2,279.94	$2,997.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,662.56 / $5,662.56 / $5,662.56	Facility		$5,662.56	$5,662.56	$5,662.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,789.73 / $2,354.48 / $3,101.48	Professional		$1,789.73	$2,354.48	$3,101.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $8,571.00 / $36,803.00	Facility		$2,364.00	$8,571.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,501.77 / $2,356.61 / $3,095.95	Professional		$1,501.77	$2,356.61	$3,095.95