Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,142.33 / $2,747.00 / $7,920.26	Facility		$2,142.33	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,055.58 / $1,306.50 / $5,584.17	Professional		$1,055.58	$1,306.50	$5,584.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,414.42 / $2,347.34 / $3,169.43	Professional		$1,414.42	$2,347.34	$3,169.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,700.07 / $2,427.28 / $2,732.88	Professional		$1,700.07	$2,427.28	$2,732.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,243.42 / $2,072.16 / $2,940.63	Facility		$1,243.42	$2,072.16	$2,940.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,628.96 / $1,846.02 / $3,412.05	Professional		$1,628.96	$1,846.02	$3,412.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,443.33 / $1,977.41 / $2,159.41	Facility		$1,443.33	$1,977.41	$2,159.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,243.42 / $2,312.03 / $2,756.22	Facility		$1,243.42	$2,312.03	$2,756.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,817.66 / $2,487.42 / $3,181.03	Professional		$1,817.66	$2,487.42	$3,181.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,401.14 / $8,924.50 / $21,189.66	Facility		$4,401.14	$8,924.50	$21,189.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,975.48 / $2,644.47 / $3,380.93	Professional		$1,975.48	$2,644.47	$3,380.93
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 $1,638.23 / $2,302.60 / $3,417.25	Professional		$1,638.23	$2,302.60	$3,417.25