Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,357.36 / $2,866.71 / $7,920.26	Facility		$2,357.36	$2,866.71	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,316.50 / $1,558.10 / $6,188.70	Professional		$1,316.50	$1,558.10	$6,188.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,610.60 / $2,609.81 / $3,540.17	Professional		$1,610.60	$2,609.81	$3,540.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,863.69 / $2,623.34 / $2,986.32	Professional		$1,863.69	$2,623.34	$2,986.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,558.10 / $2,429.86 / $3,520.98	Facility		$1,558.10	$2,429.86	$3,520.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,926.19 / $2,516.42 / $3,829.04	Professional		$1,926.19	$2,516.42	$3,829.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,739.36 / $2,270.30 / $2,450.86	Facility		$1,739.36	$2,270.30	$2,450.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,558.10 / $2,671.29 / $3,349.92	Facility		$1,558.10	$2,671.29	$3,349.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,067.44 / $2,806.44 / $3,690.49	Professional		$2,067.44	$2,806.44	$3,690.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,494.80 / $6,494.80 / $6,494.80	Facility		$6,494.80	$6,494.80	$6,494.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,203.65 / $2,899.01 / $3,818.76	Professional		$2,203.65	$2,899.01	$3,818.76
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 $1,852.24 / $2,765.64 / $3,776.49	Professional		$1,852.24	$2,765.64	$3,776.49