Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,497.23 / $11,652.00 / $23,856.49	Facility		$2,497.23	$11,652.00	$23,856.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.58 / $1,484.00 / $6,012.65	Professional		$1,148.58	$1,484.00	$6,012.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,582.33 / $2,457.87 / $3,342.51	Professional		$1,582.33	$2,457.87	$3,342.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,822.03 / $2,592.64 / $2,919.06	Professional		$1,822.03	$2,592.64	$2,919.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,484.00 / $2,314.30 / $3,190.60	Facility		$1,484.00	$2,314.30	$3,190.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,740.15 / $2,047.24 / $3,626.37	Professional		$1,740.15	$2,047.24	$3,626.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,619.45 / $2,143.81 / $2,277.33	Facility		$1,619.45	$2,143.81	$2,277.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,484.00 / $2,504.81 / $3,062.81	Facility		$1,484.00	$2,504.81	$3,062.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,013.67 / $2,621.97 / $3,340.20	Professional		$2,013.67	$2,621.97	$3,340.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,864.82 / $5,864.82 / $5,864.82	Facility		$5,864.82	$5,864.82	$5,864.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,065.27 / $2,788.88 / $3,565.55	Professional		$2,065.27	$2,788.88	$3,565.55
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 $1,750.07 / $2,437.11 / $3,572.57	Professional		$1,750.07	$2,437.11	$3,572.57