Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,553.19 / $3,119.72 / $7,920.26	Facility		$2,553.19	$3,119.72	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,284.25 / $1,659.07 / $6,725.69	Professional		$1,284.25	$1,659.07	$6,725.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,771.68 / $2,747.84 / $3,729.96	Professional		$1,771.68	$2,747.84	$3,729.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,034.81 / $2,895.67 / $3,260.23	Professional		$2,034.81	$2,895.67	$3,260.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,659.07 / $2,587.32 / $3,567.00	Facility		$1,659.07	$2,587.32	$3,567.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,027.52 / $2,339.69 / $4,049.72	Professional		$2,027.52	$2,339.69	$4,049.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,794.10 / $2,413.02 / $2,541.31	Facility		$1,794.10	$2,413.02	$2,541.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,659.07 / $2,815.45 / $3,428.42	Facility		$1,659.07	$2,815.45	$3,428.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,250.36 / $2,934.85 / $3,729.96	Professional		$2,250.36	$2,934.85	$3,729.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,560.47 / $6,560.47 / $6,560.47	Facility		$6,560.47	$6,560.47	$6,560.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,308.21 / $3,112.16 / $3,978.86	Professional		$2,308.21	$3,112.16	$3,978.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,983.00 / $4,911.00	Facility		$1,106.00	$2,983.00	$4,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,957.82 / $2,727.96 / $3,992.82	Professional		$1,957.82	$2,727.96	$3,992.82