Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,291.28 / $2,803.95 / $7,920.26	Facility		$2,291.28	$2,803.95	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,153.33 / $1,488.60 / $6,032.42	Professional		$1,153.33	$1,488.60	$6,032.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,588.03 / $2,465.48 / $3,353.32	Professional		$1,588.03	$2,465.48	$3,353.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,828.77 / $2,602.17 / $2,929.78	Professional		$1,828.77	$2,602.17	$2,929.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,488.60 / $2,321.46 / $3,200.49	Facility		$1,488.60	$2,321.46	$3,200.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,745.95 / $2,054.06 / $3,640.18	Professional		$1,745.95	$2,054.06	$3,640.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,590.22 / $2,140.96 / $2,284.69	Facility		$1,590.22	$2,140.96	$2,284.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,488.60 / $2,495.57 / $3,072.99	Facility		$1,488.60	$2,495.57	$3,072.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,020.31 / $2,630.05 / $3,353.13	Professional		$2,020.31	$2,630.05	$3,353.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,879.04 / $5,879.04 / $5,879.04	Facility		$5,879.04	$5,879.04	$5,879.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,073.27 / $2,797.91 / $3,577.09	Professional		$2,073.27	$2,797.91	$3,577.09
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 $1,722.76 / $2,446.66 / $3,586.41	Professional		$1,722.76	$2,446.66	$3,586.41