Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,147.58 / $2,747.00 / $7,920.26	Facility		$2,147.58	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,081.45 / $1,395.78 / $5,653.45	Professional		$1,081.45	$1,395.78	$5,653.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,487.72 / $2,341.80 / $3,143.86	Professional		$1,487.72	$2,341.80	$3,143.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,715.35 / $2,441.86 / $2,749.29	Professional		$1,715.35	$2,441.86	$2,749.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,395.78 / $2,220.39 / $3,091.50	Facility		$1,395.78	$2,220.39	$3,091.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,717.50 / $2,000.42 / $3,414.18	Professional		$1,717.50	$2,000.42	$3,414.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,560.60 / $2,010.20 / $2,308.60	Facility		$1,560.60	$2,010.20	$2,308.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,395.78 / $2,431.08 / $3,000.93	Facility		$1,395.78	$2,431.08	$3,000.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,894.12 / $2,503.33 / $3,143.86	Professional		$1,894.12	$2,503.33	$3,143.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,382.14 / $5,382.14 / $5,382.14	Facility		$5,382.14	$5,382.14	$5,382.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,944.11 / $2,623.14 / $3,353.65	Professional		$1,944.11	$2,623.14	$3,353.65
United Facility/Professional Facility Modifier Low / Median / High Price $2,446.00 / $10,234.00 / $36,803.00	Facility		$2,446.00	$10,234.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,614.08 / $2,571.67 / $3,362.97	Professional		$1,614.08	$2,571.67	$3,362.97