Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,197.78 / $7,920.26	Facility		$2,747.00	$4,197.78	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,592.95 / $2,550.76 / $9,049.41	Professional		$1,592.95	$2,550.76	$9,049.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,405.69 / $3,839.36 / $5,155.85	Professional		$2,405.69	$3,839.36	$5,155.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,730.13 / $3,874.17 / $4,361.93	Professional		$2,730.13	$3,874.17	$4,361.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,550.76 / $3,720.45 / $5,484.13	Facility		$2,550.76	$3,720.45	$5,484.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,707.20 / $3,184.94 / $5,579.61	Professional		$2,707.20	$3,184.94	$5,579.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,500.50 / $3,325.80 / $3,531.92	Facility		$2,500.50	$3,325.80	$3,531.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,550.76 / $3,977.91 / $5,183.35	Facility		$2,550.76	$3,977.91	$5,183.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,065.60 / $4,075.24 / $5,192.33	Professional		$3,065.60	$4,075.24	$5,192.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,202.71 / $9,202.71 / $9,202.71	Facility		$9,202.71	$9,202.71	$9,202.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,210.46 / $4,301.88 / $5,499.91	Professional		$3,210.46	$4,301.88	$5,499.91
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 $2,671.24 / $4,042.34 / $5,553.55	Professional		$2,671.24	$4,042.34	$5,553.55