Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,581.54 / $3,150.52 / $7,920.26	Facility		$2,581.54	$3,150.52	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,199.57 / $1,728.24 / $6,762.74	Professional		$1,199.57	$1,728.24	$6,762.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,730.04 / $2,725.32 / $3,866.65	Professional		$1,730.04	$2,725.32	$3,866.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,053.55 / $2,926.61 / $3,331.56	Professional		$2,053.55	$2,926.61	$3,331.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,728.24 / $2,471.38 / $3,715.72	Facility		$1,728.24	$2,471.38	$3,715.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,078.71 / $2,490.90 / $4,192.92	Professional		$2,078.71	$2,490.90	$4,192.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,607.13 / $2,372.06 / $2,634.44	Facility		$1,607.13	$2,372.06	$2,634.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,728.24 / $2,695.19 / $3,588.55	Facility		$1,728.24	$2,695.19	$3,588.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,146.41 / $3,028.16 / $4,023.69	Professional		$2,146.41	$3,028.16	$4,023.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,042.30 / $6,042.30 / $6,042.30	Facility		$6,042.30	$6,042.30	$6,042.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,407.84 / $3,167.63 / $4,172.60	Professional		$2,407.84	$3,167.63	$4,172.60
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 $1,993.16 / $2,742.48 / $4,165.14	Professional		$1,993.16	$2,742.48	$4,165.14