Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,200.48 / $2,747.00 / $7,920.26	Facility		$2,200.48	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,108.78 / $1,429.95 / $5,795.08	Professional		$1,108.78	$1,429.95	$5,795.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,524.79 / $2,368.36 / $3,219.58	Professional		$1,524.79	$2,368.36	$3,219.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,756.59 / $2,500.11 / $2,814.87	Professional		$1,756.59	$2,500.11	$2,814.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,429.95 / $2,251.48 / $3,356.23	Facility		$1,429.95	$2,251.48	$3,356.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,741.14 / $1,983.30 / $3,495.89	Professional		$1,741.14	$1,983.30	$3,495.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,543.13 / $2,103.12 / $2,253.56	Facility		$1,543.13	$2,103.12	$2,253.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,429.95 / $2,465.14 / $3,074.39	Facility		$1,429.95	$2,465.14	$3,074.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,940.01 / $2,563.96 / $3,219.58	Professional		$1,940.01	$2,563.96	$3,219.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,024.56 / $6,024.56 / $6,024.56	Facility		$6,024.56	$6,024.56	$6,024.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,992.70 / $2,686.32 / $3,434.43	Professional		$1,992.70	$2,686.32	$3,434.43
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 $1,655.16 / $2,524.23 / $3,447.05	Professional		$1,655.16	$2,524.23	$3,447.05