Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,693.84 / $3,279.20 / $7,920.26	Facility		$2,693.84	$3,279.20	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,342.61 / $1,797.37 / $7,049.19	Professional		$1,342.61	$1,797.37	$7,049.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,816.85 / $2,879.80 / $4,019.07	Professional		$1,816.85	$2,879.80	$4,019.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,123.13 / $3,013.59 / $3,430.58	Professional		$2,123.13	$3,013.59	$3,430.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,797.37 / $2,672.11 / $3,895.85	Facility		$1,797.37	$2,672.11	$3,895.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,179.69 / $2,737.23 / $4,332.97	Professional		$2,179.69	$2,737.23	$4,332.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,902.47 / $2,586.36 / $2,738.29	Facility		$1,902.47	$2,586.36	$2,738.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,797.37 / $2,950.48 / $3,864.35	Facility		$1,797.37	$2,950.48	$3,864.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,341.40 / $3,169.92 / $4,175.76	Professional		$2,341.40	$3,169.92	$4,175.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,115.86 / $7,115.86 / $7,115.86	Facility		$7,115.86	$7,115.86	$7,115.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,501.94 / $3,291.42 / $4,335.67	Professional		$2,501.94	$3,291.42	$4,335.67
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 $2,077.92 / $2,911.68 / $4,327.93	Professional		$2,077.92	$2,911.68	$4,327.93