Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,525.71 / $3,083.89 / $7,920.26	Facility		$2,525.71	$3,083.89	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,331.26 / $1,691.79 / $6,646.11	Professional		$1,331.26	$1,691.79	$6,646.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,673.30 / $2,714.64 / $3,687.67	Professional		$1,673.30	$2,714.64	$3,687.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,010.70 / $2,860.02 / $3,255.75	Professional		$2,010.70	$2,860.02	$3,255.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,691.79 / $2,530.61 / $3,754.23	Facility		$1,691.79	$2,530.61	$3,754.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,013.18 / $2,595.84 / $4,001.96	Professional		$2,013.18	$2,595.84	$4,001.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,768.91 / $2,446.17 / $2,512.50	Facility		$1,768.91	$2,446.17	$2,512.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,691.79 / $2,819.37 / $3,637.35	Facility		$1,691.79	$2,819.37	$3,637.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,180.48 / $2,876.64 / $3,789.42	Professional		$2,180.48	$2,876.64	$3,789.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,606.57 / $6,606.57 / $6,606.57	Facility		$6,606.57	$6,606.57	$6,606.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,282.38 / $3,002.57 / $3,955.18	Professional		$2,282.38	$3,002.57	$3,955.18
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 $1,899.04 / $2,646.98 / $3,948.12	Professional		$1,899.04	$2,646.98	$3,948.12