Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,409.17 / $2,955.50 / $7,920.26	Facility		$2,409.17	$2,955.50	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,227.27 / $1,567.79 / $6,309.71	Professional		$1,227.27	$1,567.79	$6,309.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,665.18 / $2,693.29 / $3,621.79	Professional		$1,665.18	$2,693.29	$3,621.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,927.20 / $2,753.62 / $3,100.30	Professional		$1,927.20	$2,753.62	$3,100.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,567.79 / $2,444.96 / $3,370.75	Facility		$1,567.79	$2,444.96	$3,370.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,841.61 / $2,125.80 / $3,928.75	Professional		$1,841.61	$2,125.80	$3,928.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,700.60 / $2,318.05 / $2,467.61	Facility		$1,700.60	$2,318.05	$2,467.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,567.79 / $2,652.78 / $3,339.56	Facility		$1,567.79	$2,652.78	$3,339.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,121.96 / $2,854.02 / $3,639.61	Professional		$2,121.96	$2,854.02	$3,639.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,294.27 / $6,294.27 / $6,294.27	Facility		$6,294.27	$6,294.27	$6,294.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,250.40 / $3,021.90 / $3,863.47	Professional		$2,250.40	$3,021.90	$3,863.47
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $8,571.00 / $36,803.00	Facility		$2,364.00	$8,571.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,925.10 / $2,839.59 / $3,892.80	Professional		$1,925.10	$2,839.59	$3,892.80