Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,123.44 / $2,747.00 / $7,920.26	Facility		$2,123.44	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,052.53 / $1,231.84 / $5,544.93	Professional		$1,052.53	$1,231.84	$5,544.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,410.61 / $2,324.52 / $3,140.91	Professional		$1,410.61	$2,324.52	$3,140.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,683.79 / $2,402.91 / $2,705.43	Professional		$1,683.79	$2,402.91	$2,705.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,231.84 / $2,052.88 / $2,932.30	Facility		$1,231.84	$2,052.88	$2,932.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,618.94 / $1,830.24 / $3,379.19	Professional		$1,618.94	$1,830.24	$3,379.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,443.81 / $1,959.27 / $2,139.98	Facility		$1,443.81	$1,959.27	$2,139.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,231.84 / $2,289.55 / $2,730.47	Facility		$1,231.84	$2,289.55	$2,730.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,799.88 / $2,469.16 / $3,150.11	Professional		$1,799.88	$2,469.16	$3,150.11
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 $1,957.03 / $2,620.67 / $3,350.51	Professional		$1,957.03	$2,620.67	$3,350.51
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 $1,628.16 / $2,150.40 / $3,353.83	Professional		$1,628.16	$2,150.40	$3,353.83