Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,150.09 / $2,747.00 / $7,920.26	Facility		$2,150.09	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,029.07 / $1,254.78 / $5,554.84	Professional		$1,029.07	$1,254.78	$5,554.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,399.31 / $2,367.94 / $3,191.07	Professional		$1,399.31	$2,367.94	$3,191.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,729.94 / $2,481.62 / $2,796.49	Professional		$1,729.94	$2,481.62	$2,796.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,254.78 / $2,091.09 / $2,925.82	Facility		$1,254.78	$2,091.09	$2,925.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,615.68 / $1,837.45 / $3,443.90	Professional		$1,615.68	$1,837.45	$3,443.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,417.79 / $2,011.39 / $2,174.15	Facility		$1,417.79	$2,011.39	$2,174.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,254.78 / $2,332.33 / $2,779.39	Facility		$1,254.78	$2,332.33	$2,779.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,828.86 / $2,514.40 / $3,208.57	Professional		$1,828.86	$2,514.40	$3,208.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,501.04 / $5,501.04 / $5,501.04	Facility		$5,501.04	$5,501.04	$5,501.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,992.08 / $2,662.52 / $3,404.01	Professional		$1,992.08	$2,662.52	$3,404.01
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 $1,580.28 / $2,285.31 / $3,445.98	Professional		$1,580.28	$2,285.31	$3,445.98