Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,640.57 / $3,308.78 / $7,920.26	Facility		$2,640.57	$3,308.78	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,226.66 / $1,779.21 / $6,902.28	Professional		$1,226.66	$1,779.21	$6,902.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,874.93 / $3,017.90 / $4,135.10	Professional		$1,874.93	$3,017.90	$4,135.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,157.02 / $3,101.84 / $3,492.36	Professional		$2,157.02	$3,101.84	$3,492.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,779.21 / $2,738.29 / $3,825.30	Facility		$1,779.21	$2,738.29	$3,825.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,093.23 / $2,394.60 / $4,483.63	Professional		$2,093.23	$2,394.60	$4,483.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,922.50 / $2,627.63 / $2,817.35	Facility		$1,922.50	$2,627.63	$2,817.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,779.21 / $2,965.05 / $3,801.44	Facility		$1,779.21	$2,965.05	$3,801.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,389.25 / $3,227.01 / $4,135.10	Professional		$2,389.25	$3,227.01	$4,135.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,186.84 / $7,186.84 / $7,186.84	Facility		$7,186.84	$7,186.84	$7,186.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,562.21 / $3,450.20 / $4,411.05	Professional		$2,562.21	$3,450.20	$4,411.05
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 $2,105.17 / $2,954.14 / $4,432.20	Professional		$2,105.17	$2,954.14	$4,432.20