Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,181.26 / $7,920.26	Facility		$2,747.00	$4,181.26	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,542.87 / $2,543.19 / $9,037.11	Professional		$1,542.87	$2,543.19	$9,037.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,407.39 / $3,836.77 / $5,138.16	Professional		$2,407.39	$3,836.77	$5,138.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,719.62 / $3,856.14 / $4,341.63	Professional		$2,719.62	$3,856.14	$4,341.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,543.19 / $3,943.42 / $5,467.88	Facility		$2,543.19	$3,943.42	$5,467.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,708.61 / $3,294.08 / $5,560.52	Professional		$2,708.61	$3,294.08	$5,560.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,450.53 / $3,313.00 / $3,524.44	Facility		$2,450.53	$3,313.00	$3,524.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,543.19 / $4,192.33 / $5,467.88	Facility		$2,543.19	$4,192.33	$5,467.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,067.78 / $4,146.39 / $5,175.42	Professional		$3,067.78	$4,146.39	$5,175.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,138.84 / $9,138.84 / $9,138.84	Facility		$9,138.84	$9,138.84	$9,138.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,202.46 / $4,287.10 / $5,481.03	Professional		$3,202.46	$4,287.10	$5,481.03
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 $2,721.03 / $4,253.53 / $5,488.19	Professional		$2,721.03	$4,253.53	$5,488.19