Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,413.61 / $7,920.26	Facility		$2,747.00	$3,413.61	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,312.73 / $2,073.73 / $7,346.55	Professional		$1,312.73	$2,073.73	$7,346.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,952.47 / $3,119.48 / $4,190.18	Professional		$1,952.47	$3,119.48	$4,190.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,220.91 / $3,154.46 / $3,551.61	Professional		$2,220.91	$3,154.46	$3,551.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,073.73 / $3,059.74 / $4,458.54	Facility		$2,073.73	$3,059.74	$4,458.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,194.96 / $2,600.00 / $4,536.70	Professional		$2,194.96	$2,600.00	$4,536.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,045.26 / $2,705.48 / $2,892.39	Facility		$2,045.26	$2,705.48	$2,892.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,073.73 / $3,234.00 / $4,000.44	Facility		$2,073.73	$3,234.00	$4,000.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,488.07 / $3,316.94 / $4,218.52	Professional		$2,488.07	$3,316.94	$4,218.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,406.89 / $7,406.89 / $7,406.89	Facility		$7,406.89	$7,406.89	$7,406.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,608.34 / $3,496.15 / $4,469.79	Professional		$2,608.34	$3,496.15	$4,469.79
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 $2,207.44 / $3,135.27 / $4,512.01	Professional		$2,207.44	$3,135.27	$4,512.01