Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,300.16 / $2,902.84 / $7,920.26	Facility		$2,300.16	$2,902.84	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $863.15 / $1,556.84 / $3,728.16	Professional		$863.15	$1,556.84	$3,728.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,618.91 / $2,624.84 / $3,610.97	Professional		$1,618.91	$2,624.84	$3,610.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,894.69 / $2,736.56 / $3,081.09	Professional		$1,894.69	$2,736.56	$3,081.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,371.53 / $1,993.07 / $3,347.21	Facility		$1,371.53	$1,993.07	$3,347.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,442.56 / $2,090.40 / $3,920.26	Professional		$1,442.56	$2,090.40	$3,920.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,376.85 / $2,046.12 / $2,460.23	Facility		$1,376.85	$2,046.12	$2,460.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,556.84 / $2,384.60 / $3,116.62	Facility		$1,556.84	$2,384.60	$3,116.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,787.44 / $2,781.48 / $3,593.42	Professional		$1,787.44	$2,781.48	$3,593.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,952.72 / $4,952.72 / $4,952.72	Facility		$4,952.72	$4,952.72	$4,952.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,233.17 / $3,012.88 / $3,851.93	Professional		$2,233.17	$3,012.88	$3,851.93
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 $1,746.75 / $2,294.75 / $3,827.06	Professional		$1,746.75	$2,294.75	$3,827.06