Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,667.09 / $5,116.62 / $10,334.01	Facility		$1,667.09	$5,116.62	$10,334.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,145.73 / $1,355.36 / $3,678.32	Professional		$1,145.73	$1,355.36	$3,678.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,537.27 / $2,559.33 / $3,452.64	Professional		$1,537.27	$2,559.33	$3,452.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,850.73 / $2,643.30 / $2,976.10	Professional		$1,850.73	$2,643.30	$2,976.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,355.36 / $2,258.71 / $3,192.39	Facility		$1,355.36	$2,258.71	$3,192.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,750.32 / $2,071.55 / $3,713.39	Professional		$1,750.32	$2,071.55	$3,713.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,621.41 / $2,152.37 / $2,422.71	Facility		$1,621.41	$2,152.37	$2,422.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,355.36 / $2,548.26 / $3,009.58	Facility		$1,355.36	$2,548.26	$3,009.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,978.80 / $2,712.06 / $3,468.31	Professional		$1,978.80	$2,712.06	$3,468.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,041.14 / $9,224.37 / $11,703.59	Facility		$7,041.14	$9,224.37	$11,703.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,152.61 / $2,880.78 / $3,683.04	Professional		$2,152.61	$2,880.78	$3,683.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,782.39 / $2,483.57 / $3,689.00	Professional		$1,782.39	$2,483.57	$3,689.00