Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,895.20 / $7,920.26	Facility		$2,747.00	$3,895.20	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,484.85 / $2,365.80 / $8,398.12	Professional		$1,484.85	$2,365.80	$8,398.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,235.42 / $3,559.65 / $4,784.14	Professional		$2,235.42	$3,559.65	$4,784.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,533.37 / $3,595.73 / $4,048.43	Professional		$2,533.37	$3,595.73	$4,048.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,365.80 / $3,465.87 / $5,086.47	Facility		$2,365.80	$3,465.87	$5,086.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,512.77 / $2,950.86 / $5,176.46	Professional		$2,512.77	$2,950.86	$5,176.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,323.66 / $3,086.10 / $3,259.55	Facility		$2,323.66	$3,086.10	$3,259.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,365.80 / $3,689.47 / $4,581.72	Facility		$2,365.80	$3,689.47	$4,581.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,848.64 / $3,783.84 / $4,816.34	Professional		$2,848.64	$3,783.84	$4,816.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,549.69 / $8,549.69 / $8,549.69	Facility		$8,549.69	$8,549.69	$8,549.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,977.97 / $3,991.73 / $5,103.39	Professional		$2,977.97	$3,991.73	$5,103.39
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 $2,478.32 / $3,592.93 / $5,151.39	Professional		$2,478.32	$3,592.93	$5,151.39