Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,115.44 / $2,747.00 / $7,920.26	Facility		$2,115.44	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,167.44 / $1,397.37 / $5,557.33	Professional		$1,167.44	$1,397.37	$5,557.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,447.50 / $2,337.84 / $3,174.35	Professional		$1,447.50	$2,337.84	$3,174.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,671.09 / $2,350.63 / $2,675.89	Professional		$1,671.09	$2,350.63	$2,675.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,397.37 / $2,177.64 / $3,114.64	Facility		$1,397.37	$2,177.64	$3,114.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,702.89 / $2,240.80 / $3,435.41	Professional		$1,702.89	$2,240.80	$3,435.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,571.23 / $2,035.69 / $2,175.32	Facility		$1,571.23	$2,035.69	$2,175.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,397.37 / $2,374.82 / $3,004.35	Facility		$1,397.37	$2,374.82	$3,004.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,857.48 / $2,515.50 / $3,308.36	Professional		$1,857.48	$2,515.50	$3,308.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,800.93 / $5,800.93 / $5,800.93	Facility		$5,800.93	$5,800.93	$5,800.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,976.10 / $2,599.64 / $3,424.42	Professional		$1,976.10	$2,599.64	$3,424.42
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 $1,633.02 / $2,355.11 / $3,418.32	Professional		$1,633.02	$2,355.11	$3,418.32