Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,092.24 / $7,920.26	Facility		$2,747.00	$4,092.24	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,538.19 / $2,481.42 / $8,844.48	Professional		$1,538.19	$2,481.42	$8,844.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,338.46 / $3,738.52 / $5,023.10	Professional		$2,338.46	$3,738.52	$5,023.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,660.89 / $3,780.34 / $4,256.29	Professional		$2,660.89	$3,780.34	$4,256.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,639.39 / $3,590.42 / $5,335.07	Facility		$1,639.39	$3,590.42	$5,335.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,632.11 / $2,992.80 / $5,433.19	Professional		$2,632.11	$2,992.80	$5,433.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,109.66 / $3,241.44 / $3,422.36	Facility		$2,109.66	$3,241.44	$3,422.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,481.42 / $3,869.79 / $4,786.28	Facility		$2,481.42	$3,869.79	$4,786.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,979.93 / $3,977.43 / $5,050.09	Professional		$2,979.93	$3,977.43	$5,050.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,950.75 / $8,950.75 / $8,950.75	Facility		$8,950.75	$8,950.75	$8,950.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,123.13 / $4,191.10 / $5,358.29	Professional		$3,123.13	$4,191.10	$5,358.29
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 $2,605.19 / $3,826.60 / $5,402.47	Professional		$2,605.19	$3,826.60	$5,402.47