Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,201.90 / $2,747.00 / $7,920.26	Facility		$2,201.90	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,109.09 / $1,430.89 / $5,798.86	Professional		$1,109.09	$1,430.89	$5,798.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,525.27 / $2,369.90 / $3,222.53	Professional		$1,525.27	$2,369.90	$3,222.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,757.67 / $2,501.67 / $2,816.63	Professional		$1,757.67	$2,501.67	$2,816.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,430.89 / $2,249.14 / $3,076.41	Facility		$1,430.89	$2,249.14	$3,076.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,678.50 / $1,963.65 / $3,497.99	Professional		$1,678.50	$1,963.65	$3,497.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,577.53 / $2,090.76 / $2,195.59	Facility		$1,577.53	$2,090.76	$2,195.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,430.89 / $2,462.57 / $2,952.66	Facility		$1,430.89	$2,462.57	$2,952.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,940.61 / $2,526.56 / $3,222.53	Professional		$1,940.61	$2,526.56	$3,222.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,761.93 / $5,761.93 / $5,761.93	Facility		$5,761.93	$5,761.93	$5,761.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,993.31 / $2,688.78 / $3,437.57	Professional		$1,993.31	$2,688.78	$3,437.57
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 $1,688.05 / $2,425.92 / $3,586.15	Professional		$1,688.05	$2,425.92	$3,586.15