Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,971.10 / $2,747.00 / $7,920.26	Facility		$1,971.10	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,031.97 / $1,303.44 / $5,174.12	Professional		$1,031.97	$1,303.44	$5,174.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,345.22 / $2,182.77 / $2,958.01	Professional		$1,345.22	$2,182.77	$2,958.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,558.38 / $2,194.57 / $2,498.23	Professional		$1,558.38	$2,194.57	$2,498.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,303.44 / $2,032.71 / $2,940.63	Facility		$1,303.44	$2,032.71	$2,940.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,610.22 / $2,064.94 / $3,200.92	Professional		$1,610.22	$2,064.94	$3,200.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,480.63 / $1,898.38 / $2,047.52	Facility		$1,480.63	$1,898.38	$2,047.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,303.44 / $2,172.17 / $2,802.40	Facility		$1,303.44	$2,172.17	$2,802.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,727.04 / $2,345.46 / $3,085.88	Professional		$1,727.04	$2,345.46	$3,085.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,518.78 / $5,518.78 / $5,518.78	Facility		$5,518.78	$5,518.78	$5,518.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,842.01 / $2,423.25 / $3,192.07	Professional		$1,842.01	$2,423.25	$3,192.07
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 $1,518.27 / $2,310.41 / $3,186.37	Professional		$1,518.27	$2,310.41	$3,186.37