Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,833.90 / $7,920.26	Facility		$2,747.00	$3,833.90	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,597.41 / $2,111.75 / $8,303.04	Professional		$1,597.41	$2,111.75	$8,303.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,150.63 / $3,436.78 / $4,693.67	Professional		$2,150.63	$3,436.78	$4,693.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,499.75 / $3,547.95 / $4,038.87	Professional		$2,499.75	$3,547.95	$4,038.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,111.75 / $3,237.78 / $4,578.02	Facility		$2,111.75	$3,237.78	$4,578.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,561.84 / $3,336.06 / $5,092.63	Professional		$2,561.84	$3,336.06	$5,092.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,306.42 / $3,045.16 / $3,238.78	Facility		$2,306.42	$3,045.16	$3,238.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,111.75 / $3,519.23 / $4,578.02	Facility		$2,111.75	$3,519.23	$4,578.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,771.85 / $3,726.06 / $4,903.83	Professional		$2,771.85	$3,726.06	$4,903.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,352.73 / $8,352.73 / $8,352.73	Facility		$8,352.73	$8,352.73	$8,352.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,928.16 / $3,852.13 / $5,074.27	Professional		$2,928.16	$3,852.13	$5,074.27
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 $2,448.17 / $3,625.21 / $5,018.10	Professional		$2,448.17	$3,625.21	$5,018.10