Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,446.53 / $2,997.40 / $7,920.26	Facility		$2,446.53	$2,997.40	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,231.96 / $1,590.71 / $6,437.80	Professional		$1,231.96	$1,590.71	$6,437.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,691.92 / $2,634.61 / $3,583.43	Professional		$1,691.92	$2,634.61	$3,583.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,955.20 / $2,784.52 / $3,135.09	Professional		$1,955.20	$2,784.52	$3,135.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,590.71 / $2,480.71 / $3,420.03	Facility		$1,590.71	$2,480.71	$3,420.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,799.79 / $2,191.08 / $3,890.57	Professional		$1,799.79	$2,191.08	$3,890.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,716.10 / $2,298.40 / $2,441.48	Facility		$1,716.10	$2,298.40	$2,441.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,590.71 / $2,680.05 / $3,275.70	Facility		$1,590.71	$2,680.05	$3,275.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,156.05 / $2,803.88 / $3,582.91	Professional		$2,156.05	$2,803.88	$3,582.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,248.13 / $6,248.13 / $6,248.13	Facility		$6,248.13	$6,248.13	$6,248.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,215.33 / $2,989.90 / $3,822.56	Professional		$2,215.33	$2,989.90	$3,822.56
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 $1,873.03 / $2,883.75 / $3,998.23	Professional		$1,873.03	$2,883.75	$3,998.23