Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,190.25 / $2,747.00 / $7,920.26	Facility		$2,190.25	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,120.64 / $1,545.92 / $5,767.99	Professional		$1,120.64	$1,545.92	$5,767.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,517.87 / $2,357.80 / $3,204.83	Professional		$1,517.87	$2,357.80	$3,204.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,748.17 / $2,488.58 / $2,801.89	Professional		$1,748.17	$2,488.58	$2,801.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,545.92 / $2,319.28 / $3,323.73	Facility		$1,545.92	$2,319.28	$3,323.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,614.15 / $1,963.54 / $3,478.90	Professional		$1,614.15	$1,963.54	$3,478.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,569.78 / $2,083.69 / $2,183.53	Facility		$1,569.78	$2,083.69	$2,183.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,545.92 / $2,416.36 / $2,937.85	Facility		$1,545.92	$2,416.36	$2,937.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,931.56 / $2,514.44 / $3,204.83	Professional		$1,931.56	$2,514.44	$3,204.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,877.26 / $5,877.26 / $5,877.26	Facility		$5,877.26	$5,877.26	$5,877.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,983.47 / $2,674.01 / $3,418.69	Professional		$1,983.47	$2,674.01	$3,418.69
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 $1,678.52 / $2,412.23 / $3,431.07	Professional		$1,678.52	$2,412.23	$3,431.07