Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,149.98 / $2,747.00 / $7,920.26	Facility		$2,149.98	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,051.21 / $1,438.10 / $5,667.19	Professional		$1,051.21	$1,438.10	$5,667.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,463.20 / $2,329.32 / $3,294.32	Professional		$1,463.20	$2,329.32	$3,294.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,779.22 / $2,538.91 / $2,890.22	Professional		$1,779.22	$2,538.91	$2,890.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,438.10 / $2,130.50 / $3,091.92	Facility		$1,438.10	$2,130.50	$3,091.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,717.76 / $2,141.76 / $3,623.19	Professional		$1,717.76	$2,141.76	$3,623.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,498.05 / $2,055.82 / $2,244.50	Facility		$1,498.05	$2,055.82	$2,244.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,438.10 / $2,310.57 / $3,046.15	Facility		$1,438.10	$2,310.57	$3,046.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,887.68 / $2,536.56 / $3,341.43	Professional		$1,887.68	$2,536.56	$3,341.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,698.04 / $5,698.04 / $5,698.04	Facility		$5,698.04	$5,698.04	$5,698.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,011.77 / $2,646.57 / $3,514.15	Professional		$2,011.77	$2,646.57	$3,514.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $8,571.00 / $36,803.00	Facility		$2,364.00	$8,571.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,665.04 / $2,241.41 / $3,447.63	Professional		$1,665.04	$2,241.41	$3,447.63