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 $1,313.63 / $1,684.22 / $6,693.67	Professional		$1,313.63	$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 / $2,619.23 / $3,814.40	Facility		$1,684.22	$2,619.23	$3,814.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,085.77 / $2,637.44 / $4,146.25	Professional		$2,085.77	$2,637.44	$4,146.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,899.08 / $2,458.17 / $2,840.80	Facility		$1,899.08	$2,458.17	$2,840.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,684.22 / $2,806.75 / $3,621.07	Facility		$1,684.22	$2,806.75	$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 $7,525.79 / $7,525.79 / $7,525.79	Facility		$7,525.79	$7,525.79	$7,525.79
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 / $3,003.04 / $4,122.60	Professional		$1,965.03	$3,003.04	$4,122.60