Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,228.04 / $7,920.26	Facility		$2,747.00	$3,228.04	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,236.97 / $2,062.96 / $7,270.95	Professional		$1,236.97	$2,062.96	$7,270.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,925.70 / $3,064.28 / $3,980.30	Professional		$1,925.70	$3,064.28	$3,980.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,281.89 / $3,261.30 / $3,671.89	Professional		$2,281.89	$3,261.30	$3,671.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,940.55 / $2,930.54 / $4,435.35	Facility		$1,940.55	$2,930.54	$4,435.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,120.58 / $2,471.44 / $4,632.18	Professional		$2,120.58	$2,471.44	$4,632.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,924.49 / $2,637.55 / $2,810.37	Facility		$1,924.49	$2,637.55	$2,810.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,062.96 / $3,217.19 / $3,870.86	Facility		$2,062.96	$3,217.19	$3,870.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,453.94 / $3,247.14 / $4,152.59	Professional		$2,453.94	$3,247.14	$4,152.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,231.24 / $7,231.24 / $7,231.24	Facility		$7,231.24	$7,231.24	$7,231.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,594.81 / $3,304.97 / $4,225.37	Professional		$2,594.81	$3,304.97	$4,225.37
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 $2,175.13 / $3,053.35 / $4,446.82	Professional		$2,175.13	$3,053.35	$4,446.82