Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,442.58 / $3,104.11 / $7,920.26	Facility		$2,442.58	$3,104.11	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,287.58 / $1,587.66 / $6,414.34	Professional		$1,287.58	$1,587.66	$6,414.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,749.82 / $2,728.63 / $3,804.69	Professional		$1,749.82	$2,728.63	$3,804.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,024.02 / $2,890.78 / $3,254.73	Professional		$2,024.02	$2,890.78	$3,254.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,587.66 / $2,547.37 / $3,481.18	Facility		$1,587.66	$2,547.37	$3,481.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,902.30 / $2,217.02 / $4,127.16	Professional		$1,902.30	$2,217.02	$4,127.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,622.11 / $2,243.16 / $2,592.23	Facility		$1,622.11	$2,243.16	$2,592.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,587.66 / $2,687.58 / $3,413.47	Facility		$1,587.66	$2,687.58	$3,413.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,218.37 / $2,928.83 / $3,786.20	Professional		$2,218.37	$2,928.83	$3,786.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,544.46 / $6,544.46 / $6,544.46	Facility		$6,544.46	$6,544.46	$6,544.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,289.76 / $3,174.51 / $3,967.97	Professional		$2,289.76	$3,174.51	$3,967.97
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 $1,895.00 / $2,556.40 / $3,960.89	Professional		$1,895.00	$2,556.40	$3,960.89