Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,245.29 / $7,920.26	Facility		$2,747.00	$4,245.29	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,630.76 / $2,579.85 / $9,152.59	Professional		$1,630.76	$2,579.85	$9,152.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,434.73 / $3,879.11 / $5,211.91	Professional		$2,434.73	$3,879.11	$5,211.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,761.45 / $3,921.12 / $4,414.79	Professional		$2,761.45	$3,921.12	$4,414.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,579.85 / $3,802.21 / $5,546.68	Facility		$2,579.85	$3,802.21	$5,546.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,758.08 / $3,271.62 / $5,641.14	Professional		$2,758.08	$3,271.62	$5,641.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,535.39 / $3,363.96 / $3,568.64	Facility		$2,535.39	$3,363.96	$3,568.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,579.85 / $4,231.81 / $5,546.68	Facility		$2,579.85	$4,231.81	$5,546.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,102.63 / $4,123.93 / $5,249.03	Professional		$3,102.63	$4,123.93	$5,249.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,321.62 / $9,321.62 / $9,321.62	Facility		$9,321.62	$9,321.62	$9,321.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,245.51 / $4,348.64 / $5,559.70	Professional		$3,245.51	$4,348.64	$5,559.70
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 $2,751.23 / $3,833.56 / $5,614.20	Professional		$2,751.23	$3,833.56	$5,614.20