Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,042.37 / $2,747.00 / $7,920.26	Facility		$2,042.37	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,063.23 / $1,328.74 / $5,379.00	Professional		$1,063.23	$1,328.74	$5,379.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,394.44 / $2,223.67 / $3,012.09	Professional		$1,394.44	$2,223.67	$3,012.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,618.84 / $2,307.44 / $2,597.94	Professional		$1,618.84	$2,307.44	$2,597.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,328.74 / $2,072.17 / $2,895.28	Facility		$1,328.74	$2,072.17	$2,895.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,588.14 / $1,819.80 / $3,250.81	Professional		$1,588.14	$1,819.80	$3,250.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,438.64 / $1,940.77 / $2,052.21	Facility		$1,438.64	$1,940.77	$2,052.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,328.74 / $2,214.35 / $2,856.79	Facility		$1,328.74	$2,214.35	$2,856.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,776.96 / $2,407.19 / $3,013.45	Professional		$1,776.96	$2,407.19	$3,013.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,210.01 / $5,210.01 / $5,210.01	Facility		$5,210.01	$5,210.01	$5,210.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,874.62 / $2,513.19 / $3,213.09	Professional		$1,874.62	$2,513.19	$3,213.09
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 $1,580.46 / $2,433.31 / $3,372.60	Professional		$1,580.46	$2,433.31	$3,372.60