Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,450.38 / $3,026.54 / $7,920.26	Facility		$2,450.38	$3,026.54	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,103.10 / $1,681.08 / $6,383.12	Professional		$1,103.10	$1,681.08	$6,383.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.17 / $2,718.32 / $3,688.66	Professional		$1,659.17	$2,718.32	$3,688.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,961.72 / $2,800.45 / $3,153.03	Professional		$1,961.72	$2,800.45	$3,153.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,681.08 / $2,516.57 / $3,614.32	Facility		$1,681.08	$2,516.57	$3,614.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,884.55 / $2,121.04 / $3,975.43	Professional		$1,884.55	$2,121.04	$3,975.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,688.24 / $2,284.75 / $2,513.17	Facility		$1,688.24	$2,284.75	$2,513.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,681.08 / $2,702.36 / $3,296.06	Facility		$1,681.08	$2,702.36	$3,296.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,114.31 / $2,880.54 / $3,688.66	Professional		$2,114.31	$2,880.54	$3,688.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,237.48 / $6,237.48 / $6,237.48	Facility		$6,237.48	$6,237.48	$6,237.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,287.30 / $3,077.70 / $3,934.80	Professional		$2,287.30	$3,077.70	$3,934.80
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 $1,892.96 / $2,640.87 / $3,956.62	Professional		$1,892.96	$2,640.87	$3,956.62