Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,550.92 / $3,099.60 / $7,920.26	Facility		$2,550.92	$3,099.60	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.07 / $1,685.09 / $6,697.50	Professional		$1,412.07	$1,685.09	$6,697.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,743.25 / $2,821.45 / $3,829.28	Professional		$1,743.25	$2,821.45	$3,829.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,014.94 / $2,834.58 / $3,226.80	Professional		$2,014.94	$2,834.58	$3,226.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,685.09 / $2,627.90 / $3,751.46	Facility		$1,685.09	$2,627.90	$3,751.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,083.64 / $2,703.13 / $4,142.02	Professional		$2,083.64	$2,703.13	$4,142.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,881.80 / $2,454.56 / $2,753.38	Facility		$1,881.80	$2,454.56	$2,753.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,685.09 / $2,871.13 / $3,723.85	Facility		$1,685.09	$2,871.13	$3,723.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,279.19 / $3,036.54 / $3,993.31	Professional		$2,279.19	$3,036.54	$3,993.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,969.42 / $7,969.42 / $7,969.42	Facility		$7,969.42	$7,969.42	$7,969.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,385.09 / $3,137.69 / $4,133.17	Professional		$2,385.09	$3,137.69	$4,133.17
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 $2,006.69 / $2,993.64 / $4,125.81	Professional		$2,006.69	$2,993.64	$4,125.81