Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,577.98 / $3,177.12 / $7,920.26	Facility		$2,577.98	$3,177.12	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,167.57 / $1,822.50 / $6,734.35	Professional		$1,167.57	$1,822.50	$6,734.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,764.79 / $2,857.44 / $3,859.76	Professional		$1,764.79	$2,857.44	$3,859.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,074.33 / $2,963.46 / $3,336.56	Professional		$2,074.33	$2,963.46	$3,336.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,822.50 / $2,631.20 / $3,918.38	Facility		$1,822.50	$2,631.20	$3,918.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,987.84 / $2,248.19 / $4,196.10	Professional		$1,987.84	$2,248.19	$4,196.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,735.58 / $2,402.44 / $2,629.75	Facility		$1,735.58	$2,402.44	$2,629.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,822.50 / $2,851.10 / $3,502.47	Facility		$1,822.50	$2,851.10	$3,502.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,248.90 / $3,027.96 / $3,872.30	Professional		$2,248.90	$3,027.96	$3,872.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,631.45 / $6,631.45 / $6,631.45	Facility		$6,631.45	$6,631.45	$6,631.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,403.54 / $3,220.46 / $4,117.33	Professional		$2,403.54	$3,220.46	$4,117.33
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 $1,961.44 / $2,785.63 / $4,157.71	Professional		$1,961.44	$2,785.63	$4,157.71