Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,251.94 / $2,755.56 / $7,920.26	Facility		$2,251.94	$2,755.56	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,164.83 / $1,463.21 / $4,653.75	Professional		$1,164.83	$1,463.21	$4,653.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,560.41 / $2,423.44 / $3,295.30	Professional		$1,560.41	$2,423.44	$3,295.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,796.70 / $2,556.83 / $2,878.74	Professional		$1,796.70	$2,556.83	$2,878.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,463.21 / $2,283.26 / $3,145.90	Facility		$1,463.21	$2,283.26	$3,145.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,715.39 / $2,059.19 / $3,575.46	Professional		$1,715.39	$2,059.19	$3,575.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,585.77 / $2,120.23 / $2,245.17	Facility		$1,585.77	$2,120.23	$2,245.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,463.21 / $2,499.92 / $3,020.23	Facility		$1,463.21	$2,499.92	$3,020.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,985.90 / $2,584.77 / $3,295.30	Professional		$1,985.90	$2,584.77	$3,295.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,779.67 / $5,779.67 / $5,779.67	Facility		$5,779.67	$5,779.67	$5,779.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,037.60 / $2,749.50 / $3,515.20	Professional		$2,037.60	$2,749.50	$3,515.20
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 $1,725.16 / $2,583.61 / $3,524.69	Professional		$1,725.16	$2,583.61	$3,524.69