Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,500.21 / $7,920.26	Facility		$2,747.00	$3,500.21	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,340.58 / $2,122.84 / $7,512.38	Professional		$1,340.58	$2,122.84	$7,512.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,969.60 / $3,186.46 / $4,290.47	Professional		$1,969.60	$3,186.46	$4,290.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,278.86 / $3,243.91 / $3,652.32	Professional		$2,278.86	$3,243.91	$3,652.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,122.84 / $3,138.53 / $4,564.10	Facility		$2,122.84	$3,138.53	$4,564.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,244.51 / $2,614.26 / $4,648.09	Professional		$2,244.51	$2,614.26	$4,648.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,064.94 / $2,776.06 / $2,923.21	Facility		$2,064.94	$2,776.06	$2,923.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,122.84 / $3,476.19 / $4,564.10	Facility		$2,122.84	$3,476.19	$4,564.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,509.89 / $3,408.48 / $4,314.01	Professional		$2,509.89	$3,408.48	$4,314.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,598.55 / $7,598.55 / $7,598.55	Facility		$7,598.55	$7,598.55	$7,598.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,667.38 / $3,579.84 / $4,576.79	Professional		$2,667.38	$3,579.84	$4,576.79
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 $2,251.44 / $3,137.16 / $4,614.14	Professional		$2,251.44	$3,137.16	$4,614.14