Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,129.23 / $2,747.00 / $7,920.26	Facility		$2,129.23	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,010.29 / $1,387.09 / $5,576.50	Professional		$1,010.29	$1,387.09	$5,576.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,469.50 / $2,381.19 / $3,199.92	Professional		$1,469.50	$2,381.19	$3,199.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,705.00 / $2,438.79 / $2,745.83	Professional		$1,705.00	$2,438.79	$2,745.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,387.09 / $2,064.41 / $2,982.24	Facility		$1,387.09	$2,064.41	$2,982.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,608.96 / $1,852.73 / $3,472.54	Professional		$1,608.96	$1,852.73	$3,472.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,445.50 / $1,971.42 / $2,180.17	Facility		$1,445.50	$1,971.42	$2,180.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,387.09 / $2,165.06 / $2,775.10	Facility		$1,387.09	$2,165.06	$2,775.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,872.61 / $2,523.30 / $3,216.86	Professional		$1,872.61	$2,523.30	$3,216.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,415.89 / $5,415.89 / $5,415.89	Facility		$5,415.89	$5,415.89	$5,415.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,989.62 / $2,669.91 / $3,413.45	Professional		$1,989.62	$2,669.91	$3,413.45
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 $1,667.91 / $2,370.44 / $3,441.71	Professional		$1,667.91	$2,370.44	$3,441.71