Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,722.52 / $7,920.26	Facility		$2,747.00	$4,722.52	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,780.55 / $2,922.41 / $10,148.40	Professional		$1,780.55	$2,922.41	$10,148.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,672.79 / $4,243.50 / $5,640.66	Professional		$2,672.79	$4,243.50	$5,640.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,060.17 / $4,403.50 / $4,990.46	Professional		$3,060.17	$4,403.50	$4,990.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,217.88 / $4,086.47 / $6,283.18	Facility		$2,217.88	$4,086.47	$6,283.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,966.16 / $3,331.80 / $6,084.63	Professional		$2,966.16	$3,331.80	$6,084.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,560.05 / $3,635.91 / $3,851.16	Facility		$2,560.05	$3,635.91	$3,851.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,922.41 / $4,557.50 / $5,424.02	Facility		$2,922.41	$4,557.50	$5,424.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,374.40 / $4,497.45 / $5,688.74	Professional		$3,374.40	$4,497.45	$5,688.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,100.64 / $10,100.64 / $10,100.64	Facility		$10,100.64	$10,100.64	$10,100.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,535.20 / $4,706.39 / $6,017.06	Professional		$3,535.20	$4,706.39	$6,017.06
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 $2,918.18 / $4,160.31 / $6,115.30	Professional		$2,918.18	$4,160.31	$6,115.30