Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,440.51 / $3,062.12 / $7,920.26	Facility		$2,440.51	$3,062.12	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,130.46 / $1,645.66 / $6,377.39	Professional		$1,130.46	$1,645.66	$6,377.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,730.98 / $2,788.98 / $3,824.36	Professional		$1,730.98	$2,788.98	$3,824.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,996.11 / $2,872.49 / $3,234.14	Professional		$1,996.11	$2,872.49	$3,234.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,645.66 / $2,488.48 / $3,538.17	Facility		$1,645.66	$2,488.48	$3,538.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,926.78 / $2,212.17 / $4,146.25	Professional		$1,926.78	$2,212.17	$4,146.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,787.52 / $2,430.09 / $2,605.63	Facility		$1,787.52	$2,430.09	$2,605.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,645.66 / $2,747.03 / $3,538.17	Facility		$1,645.66	$2,747.03	$3,538.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,182.80 / $2,976.90 / $3,824.36	Professional		$2,182.80	$2,976.90	$3,824.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,527.70 / $20,006.47 / $24,937.25	Facility		$15,527.70	$20,006.47	$24,937.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,368.48 / $3,190.92 / $4,079.56	Professional		$2,368.48	$3,190.92	$4,079.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,905.80 / $2,867.48 / $4,097.09	Professional		$1,905.80	$2,867.48	$4,097.09