Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,063.21 / $2,747.00 / $7,920.26	Facility		$2,063.21	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,039.78 / $1,341.28 / $5,433.88	Professional		$1,039.78	$1,341.28	$5,433.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,429.34 / $2,221.50 / $3,021.92	Professional		$1,429.34	$2,221.50	$3,021.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,649.55 / $2,348.88 / $2,644.60	Professional		$1,649.55	$2,348.88	$2,644.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,341.28 / $2,091.73 / $2,883.75	Facility		$1,341.28	$2,091.73	$2,883.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,572.04 / $1,849.46 / $3,282.62	Professional		$1,572.04	$1,849.46	$3,282.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,444.78 / $1,944.70 / $2,058.91	Facility		$1,444.78	$1,944.70	$2,058.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,341.28 / $2,271.73 / $2,766.62	Facility		$1,341.28	$2,271.73	$2,766.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,820.46 / $2,367.29 / $3,021.92	Professional		$1,820.46	$2,367.29	$3,021.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,266.81 / $5,266.81 / $5,266.81	Facility		$5,266.81	$5,266.81	$5,266.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,869.08 / $2,521.40 / $3,223.58	Professional		$1,869.08	$2,521.40	$3,223.58
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 $1,580.99 / $2,471.41 / $3,203.10	Professional		$1,580.99	$2,471.41	$3,203.10