Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,508.67 / $4,704.00 / $8,728.00	Facility		$2,508.67	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,107.35 / $1,485.17 / $5,976.25	Professional		$1,107.35	$1,485.17	$5,976.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,575.27 / $2,551.23 / $3,429.04	Professional		$1,575.27	$2,551.23	$3,429.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,826.37 / $2,610.77 / $2,939.46	Professional		$1,826.37	$2,610.77	$2,939.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,485.17 / $2,245.81 / $3,193.12	Facility		$1,485.17	$2,245.81	$3,193.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,671.04 / $1,985.76 / $3,721.88	Professional		$1,671.04	$1,985.76	$3,721.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,442.36 / $1,994.59 / $2,336.29	Facility		$1,442.36	$1,994.59	$2,336.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,485.17 / $2,475.04 / $2,976.75	Facility		$1,485.17	$2,475.04	$2,976.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,945.14 / $2,703.48 / $3,450.61	Professional		$1,945.14	$2,703.48	$3,450.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,784.98 / $5,784.98 / $5,784.98	Facility		$5,784.98	$5,784.98	$5,784.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,133.54 / $2,861.08 / $3,657.86	Professional		$2,133.54	$2,861.08	$3,657.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,440.87 / $2,983.00 / $4,911.00	Facility		$1,440.87	$2,983.00	$4,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,788.75 / $2,261.23 / $3,656.34	Professional		$1,788.75	$2,261.23	$3,656.34