Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,963.06 / $2,747.00 / $7,920.26	Facility		$1,963.06	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,059.71 / $1,297.14 / $5,153.06	Professional		$1,059.71	$1,297.14	$5,153.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,431.90 / $2,170.09 / $2,944.24	Professional		$1,431.90	$2,170.09	$2,944.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,549.94 / $2,180.94 / $2,482.71	Professional		$1,549.94	$2,180.94	$2,482.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,297.14 / $2,022.89 / $3,072.07	Facility		$1,297.14	$2,022.89	$3,072.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,602.22 / $2,078.36 / $3,185.01	Professional		$1,602.22	$2,078.36	$3,185.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,547.01 / $1,888.11 / $2,139.31	Facility		$1,547.01	$1,888.11	$2,139.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,297.14 / $2,161.67 / $2,788.85	Facility		$1,297.14	$2,161.67	$2,788.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,818.64 / $2,335.32 / $3,070.43	Professional		$1,818.64	$2,335.32	$3,070.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,678.52 / $5,678.52 / $5,678.52	Facility		$5,678.52	$5,678.52	$5,678.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,833.41 / $2,411.92 / $3,177.15	Professional		$1,833.41	$2,411.92	$3,177.15
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 $1,542.84 / $2,208.00 / $3,141.98	Professional		$1,542.84	$2,208.00	$3,141.98