Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,531.53 / $3,065.20 / $7,920.26	Facility		$2,531.53	$3,065.20	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,308.02 / $1,677.66 / $6,637.10	Professional		$1,308.02	$1,677.66	$6,637.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,744.56 / $2,793.22 / $3,778.14	Professional		$1,744.56	$2,793.22	$3,778.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,985.38 / $2,799.56 / $3,186.92	Professional		$1,985.38	$2,799.56	$3,186.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,677.66 / $2,584.05 / $3,795.89	Facility		$1,677.66	$2,584.05	$3,795.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,049.48 / $2,667.02 / $4,074.12	Professional		$2,049.48	$2,667.02	$4,074.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,796.05 / $2,418.56 / $2,617.02	Facility		$1,796.05	$2,418.56	$2,617.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,677.66 / $2,795.82 / $3,606.97	Facility		$1,677.66	$2,795.82	$3,606.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,243.56 / $2,996.76 / $3,936.66	Professional		$2,243.56	$2,996.76	$3,936.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,965.05 / $6,965.05 / $6,965.05	Facility		$6,965.05	$6,965.05	$6,965.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,350.03 / $3,091.57 / $4,072.42	Professional		$2,350.03	$3,091.57	$4,072.42
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 $1,978.60 / $2,833.91 / $4,065.16	Professional		$1,978.60	$2,833.91	$4,065.16