Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,548.25 / $3,101.67 / $7,920.26	Facility		$2,548.25	$3,101.67	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,392.98 / $1,684.22 / $6,693.67	Professional		$1,392.98	$1,684.22	$6,693.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,744.55 / $2,822.42 / $3,830.26	Professional		$1,744.55	$2,822.42	$3,830.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,017.91 / $2,840.69 / $3,233.75	Professional		$2,017.91	$2,840.69	$3,233.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,684.22 / $2,613.71 / $3,844.94	Facility		$1,684.22	$2,613.71	$3,844.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,085.77 / $2,703.83 / $4,146.25	Professional		$2,085.77	$2,703.83	$4,146.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,898.76 / $2,458.17 / $2,643.16	Facility		$1,898.76	$2,458.17	$2,643.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,684.22 / $2,832.22 / $3,621.07	Facility		$1,684.22	$2,832.22	$3,621.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,239.55 / $3,031.86 / $3,991.25	Professional		$2,239.55	$3,031.86	$3,991.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,124.74 / $7,124.74 / $7,124.74	Facility		$7,124.74	$7,124.74	$7,124.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,383.23 / $3,135.26 / $4,129.97	Professional		$2,383.23	$3,135.26	$4,129.97
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 $1,965.03 / $2,697.10 / $4,084.25	Professional		$1,965.03	$2,697.10	$4,084.25