Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,575.41 / $3,149.25 / $7,920.26	Facility		$2,575.41	$3,149.25	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,296.65 / $1,673.35 / $6,826.43	Professional		$1,296.65	$1,673.35	$6,826.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,784.28 / $2,771.49 / $3,765.36	Professional		$1,784.28	$2,771.49	$3,765.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,054.30 / $2,923.27 / $3,291.31	Professional		$2,054.30	$2,923.27	$3,291.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,673.35 / $2,609.59 / $3,597.70	Facility		$1,673.35	$2,609.59	$3,597.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,980.99 / $2,318.55 / $4,088.95	Professional		$1,980.99	$2,318.55	$4,088.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,803.84 / $2,447.08 / $2,565.42	Facility		$1,803.84	$2,447.08	$2,565.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,673.35 / $2,826.89 / $3,483.03	Facility		$1,673.35	$2,826.89	$3,483.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,272.10 / $2,967.20 / $3,765.36	Professional		$2,272.10	$2,967.20	$3,765.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,636.75 / $6,636.75 / $6,636.75	Facility		$6,636.75	$6,636.75	$6,636.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,330.35 / $3,141.69 / $4,016.62	Professional		$2,330.35	$3,141.69	$4,016.62
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 $1,992.28 / $2,727.29 / $4,031.13	Professional		$1,992.28	$2,727.29	$4,031.13