Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,342.02 / $2,844.45 / $7,920.26	Facility		$2,342.02	$2,844.45	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,205.39 / $1,546.69 / $6,149.45	Professional		$1,205.39	$1,546.69	$6,149.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,602.14 / $2,587.39 / $3,514.60	Professional		$1,602.14	$2,587.39	$3,514.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,849.08 / $2,600.48 / $2,960.31	Professional		$1,849.08	$2,600.48	$2,960.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,491.59 / $2,327.21 / $3,502.47	Facility		$1,491.59	$2,327.21	$3,502.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,912.32 / $2,480.98 / $3,801.45	Professional		$1,912.32	$2,480.98	$3,801.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,707.16 / $2,252.51 / $2,429.64	Facility		$1,707.16	$2,252.51	$2,429.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,491.59 / $2,577.56 / $3,325.38	Facility		$1,491.59	$2,577.56	$3,325.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,055.85 / $2,786.94 / $3,662.68	Professional		$2,055.85	$2,786.94	$3,662.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,418.48 / $6,418.48 / $6,418.48	Facility		$6,418.48	$6,418.48	$6,418.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,187.66 / $2,877.97 / $3,791.05	Professional		$2,187.66	$2,877.97	$3,791.05
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 $1,842.36 / $2,644.06 / $3,749.09	Professional		$1,842.36	$2,644.06	$3,749.09