Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,340.01 / $2,959.10 / $7,920.26	Facility		$2,340.01	$2,959.10	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,121.68 / $1,360.18 / $6,089.99	Professional		$1,121.68	$1,360.18	$6,089.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,597.26 / $2,574.64 / $3,562.78	Professional		$1,597.26	$2,574.64	$3,562.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,919.72 / $2,750.92 / $3,097.26	Professional		$1,919.72	$2,750.92	$3,097.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,360.18 / $2,266.73 / $3,154.44	Facility		$1,360.18	$2,266.73	$3,154.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,759.32 / $2,052.54 / $3,847.05	Professional		$1,759.32	$2,052.54	$3,847.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,633.73 / $2,226.41 / $2,427.41	Facility		$1,633.73	$2,226.41	$2,427.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,360.18 / $2,517.19 / $3,009.36	Facility		$1,360.18	$2,517.19	$3,009.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,035.41 / $2,742.61 / $3,545.47	Professional		$2,035.41	$2,742.61	$3,545.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,983.72 / $5,983.72 / $5,983.72	Facility		$5,983.72	$5,983.72	$5,983.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,156.91 / $2,972.67 / $3,737.76	Professional		$2,156.91	$2,972.67	$3,737.76
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 $1,785.05 / $2,556.64 / $3,731.08	Professional		$1,785.05	$2,556.64	$3,731.08