Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.81 / $7,920.26 / $35,440.04	Facility		$2,630.81	$7,920.26	$35,440.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,087.34 / $1,591.08 / $6,150.35	Professional		$1,087.34	$1,591.08	$6,150.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,667.64 / $2,686.67 / $3,692.59	Professional		$1,667.64	$2,686.67	$3,692.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,935.00 / $2,790.47 / $3,141.79	Professional		$1,935.00	$2,790.47	$3,141.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,554.09 / $2,435.34 / $3,420.82	Facility		$1,554.09	$2,435.34	$3,420.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,858.95 / $2,148.60 / $4,010.46	Professional		$1,858.95	$2,148.60	$4,010.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,707.86 / $2,338.30 / $2,515.85	Facility		$1,707.86	$2,338.30	$2,515.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,591.08 / $2,651.53 / $3,381.22	Facility		$1,591.08	$2,651.53	$3,381.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,125.11 / $2,865.04 / $3,692.59	Professional		$2,125.11	$2,865.04	$3,692.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,342.20 / $6,342.20 / $6,342.20	Facility		$6,342.20	$6,342.20	$6,342.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,284.84 / $3,080.98 / $3,939.00	Professional		$2,284.84	$3,080.98	$3,939.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,796.23 / $2,622.75 / $3,915.61	Professional		$1,796.23	$2,622.75	$3,915.61