Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,849.12 / $7,920.26	Facility		$2,747.00	$3,849.12	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,570.26 / $2,113.44 / $8,295.83	Professional		$1,570.26	$2,113.44	$8,295.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,128.56 / $3,368.89 / $4,727.10	Professional		$2,128.56	$3,368.89	$4,727.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,502.61 / $3,552.31 / $4,043.83	Professional		$2,502.61	$3,552.31	$4,043.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,113.44 / $3,149.72 / $4,543.92	Facility		$2,113.44	$3,149.72	$4,543.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,559.36 / $3,222.30 / $5,112.80	Professional		$2,559.36	$3,222.30	$5,112.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,282.48 / $3,048.64 / $3,220.69	Facility		$2,282.48	$3,048.64	$3,220.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,113.44 / $3,453.23 / $4,543.77	Facility		$2,113.44	$3,453.23	$4,543.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,742.74 / $3,726.06 / $4,908.37	Professional		$2,742.74	$3,726.06	$4,908.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,379.35 / $8,379.35 / $8,379.35	Facility		$8,379.35	$8,379.35	$8,379.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,941.68 / $3,869.93 / $5,097.72	Professional		$2,941.68	$3,869.93	$5,097.72
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 $2,447.65 / $3,706.19 / $5,041.27	Professional		$2,447.65	$3,706.19	$5,041.27