Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,460.11 / $3,013.16 / $7,920.26	Facility		$2,460.11	$3,013.16	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,238.95 / $1,599.50 / $6,469.67	Professional		$1,238.95	$1,599.50	$6,469.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,700.88 / $2,649.16 / $3,602.12	Professional		$1,700.88	$2,649.16	$3,602.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,966.48 / $2,800.50 / $3,153.08	Professional		$1,966.48	$2,800.50	$3,153.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,599.50 / $2,494.42 / $3,438.93	Facility		$1,599.50	$2,494.42	$3,438.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,871.38 / $2,199.60 / $3,913.89	Professional		$1,871.38	$2,199.60	$3,913.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,723.37 / $2,310.19 / $2,454.21	Facility		$1,723.37	$2,310.19	$2,454.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,599.50 / $2,698.60 / $3,293.28	Facility		$1,599.50	$2,698.60	$3,293.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,167.46 / $2,818.43 / $3,602.12	Professional		$2,167.46	$2,818.43	$3,602.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,285.40 / $6,285.40 / $6,285.40	Facility		$6,285.40	$6,285.40	$6,285.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,227.64 / $3,005.49 / $3,842.49	Professional		$2,227.64	$3,005.49	$3,842.49
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 $1,811.01 / $2,619.73 / $3,853.43	Professional		$1,811.01	$2,619.73	$3,853.43