Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,572.12 / $3,201.81 / $7,920.26	Facility		$2,572.12	$3,201.81	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,211.84 / $1,498.93 / $6,686.45	Professional		$1,211.84	$1,498.93	$6,686.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,783.75 / $2,827.26 / $3,852.88	Professional		$1,783.75	$2,827.26	$3,852.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,077.54 / $2,980.92 / $3,356.21	Professional		$2,077.54	$2,980.92	$3,356.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,498.93 / $2,497.96 / $3,422.87	Facility		$1,498.93	$2,497.96	$3,422.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,884.45 / $2,220.10 / $4,161.10	Professional		$1,884.45	$2,220.10	$4,161.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,723.92 / $2,409.71 / $2,625.06	Facility		$1,723.92	$2,409.71	$2,625.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,498.93 / $2,743.54 / $3,322.56	Facility		$1,498.93	$2,743.54	$3,322.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,225.62 / $2,995.98 / $3,851.48	Professional		$2,225.62	$2,995.98	$3,851.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,682.89 / $6,682.89 / $6,682.89	Facility		$6,682.89	$6,682.89	$6,682.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,381.39 / $3,214.72 / $4,109.97	Professional		$2,381.39	$3,214.72	$4,109.97
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $51,981.00	Facility		$3,340.00	$26,100.00	$51,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,954.64 / $2,712.91 / $4,119.41	Professional		$1,954.64	$2,712.91	$4,119.41