Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,651.36 / $3,410.00 / $7,920.26	Facility		$1,651.36	$3,410.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,027.55 / $1,342.57 / $3,002.06	Professional		$1,027.55	$1,342.57	$3,002.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,546.28 / $2,532.09 / $3,417.24	Professional		$1,546.28	$2,532.09	$3,417.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,832.39 / $2,611.60 / $2,940.40	Professional		$1,832.39	$2,611.60	$2,940.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,342.57 / $2,237.39 / $3,213.68	Facility		$1,342.57	$2,237.39	$3,213.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,769.67 / $2,029.50 / $3,680.49	Professional		$1,769.67	$2,029.50	$3,680.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,588.68 / $2,179.44 / $2,328.25	Facility		$1,588.68	$2,179.44	$2,328.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,342.57 / $2,494.00 / $2,972.46	Facility		$1,342.57	$2,494.00	$2,972.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,970.45 / $2,710.90 / $3,431.40	Professional		$1,970.45	$2,710.90	$3,431.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,779.67 / $5,779.67 / $5,779.67	Facility		$5,779.67	$5,779.67	$5,779.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,130.46 / $2,851.24 / $3,645.28	Professional		$2,130.46	$2,851.24	$3,645.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,763.17 / $2,519.79 / $3,685.34	Professional		$1,763.17	$2,519.79	$3,685.34