Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,439.85 / $2,975.80 / $7,920.26	Facility		$2,439.85	$2,975.80	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,229.94 / $1,622.18 / $6,418.97	Professional		$1,229.94	$1,622.18	$6,418.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,656.45 / $2,622.85 / $3,663.09	Professional		$1,656.45	$2,622.85	$3,663.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,798.62 / $2,532.23 / $2,882.61	Professional		$1,798.62	$2,532.23	$2,882.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,622.18 / $2,409.48 / $3,539.49	Facility		$1,622.18	$2,409.48	$3,539.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,858.94 / $2,456.05 / $3,695.35	Professional		$1,858.94	$2,456.05	$3,695.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,778.60 / $2,191.05 / $2,495.75	Facility		$1,778.60	$2,191.05	$2,495.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,622.18 / $2,703.36 / $3,487.69	Facility		$1,622.18	$2,703.36	$3,487.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,132.65 / $2,883.75 / $3,808.94	Professional		$2,132.65	$2,883.75	$3,808.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,578.22 / $6,578.22 / $6,578.22	Facility		$6,578.22	$6,578.22	$6,578.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,285.44 / $3,006.62 / $3,960.51	Professional		$2,285.44	$3,006.62	$3,960.51
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 $1,906.32 / $2,687.86 / $3,953.45	Professional		$1,906.32	$2,687.86	$3,953.45