Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,436.56 / $7,920.26	Facility		$2,747.00	$3,436.56	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,414.96 / $1,891.37 / $7,430.16	Professional		$1,414.96	$1,891.37	$7,430.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,923.58 / $3,037.48 / $4,206.89	Professional		$1,923.58	$3,037.48	$4,206.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,240.50 / $3,181.10 / $3,621.26	Professional		$2,240.50	$3,181.10	$3,621.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,891.37 / $2,819.84 / $4,080.04	Facility		$1,891.37	$2,819.84	$4,080.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,295.51 / $2,866.95 / $4,563.20	Professional		$2,295.51	$2,866.95	$4,563.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,033.26 / $2,729.34 / $2,893.40	Facility		$2,033.26	$2,729.34	$2,893.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,891.37 / $3,109.48 / $4,066.45	Facility		$1,891.37	$3,109.48	$4,066.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,479.41 / $3,336.84 / $4,395.01	Professional		$2,479.41	$3,336.84	$4,395.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,563.06 / $7,563.06 / $7,563.06	Facility		$7,563.06	$7,563.06	$7,563.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,624.34 / $3,452.43 / $4,547.77	Professional		$2,624.34	$3,452.43	$4,547.77
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 $2,190.23 / $3,096.72 / $4,539.67	Professional		$2,190.23	$3,096.72	$4,539.67