Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,314.44 / $2,810.97 / $7,920.26	Facility		$2,314.44	$2,810.97	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,212.39 / $1,528.68 / $6,078.89	Professional		$1,212.39	$1,528.68	$6,078.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.07 / $2,556.11 / $3,473.30	Professional		$1,584.07	$2,556.11	$3,473.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,827.03 / $2,569.71 / $2,925.29	Professional		$1,827.03	$2,569.71	$2,925.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,528.68 / $2,383.98 / $3,463.60	Facility		$1,528.68	$2,383.98	$3,463.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,889.37 / $2,451.84 / $3,755.83	Professional		$1,889.37	$2,451.84	$3,755.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,798.60 / $2,248.61 / $2,671.75	Facility		$1,798.60	$2,248.61	$2,671.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,528.68 / $2,547.55 / $3,287.63	Facility		$1,528.68	$2,547.55	$3,287.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,032.73 / $2,752.62 / $3,618.39	Professional		$2,032.73	$2,752.62	$3,618.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,411.39 / $6,411.39 / $6,411.39	Facility		$6,411.39	$6,411.39	$6,411.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,160.60 / $2,842.37 / $3,744.16	Professional		$2,160.60	$2,842.37	$3,744.16
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 $1,821.05 / $2,700.30 / $3,737.48	Professional		$1,821.05	$2,700.30	$3,737.48