Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,797.82 / $7,920.26	Facility		$2,747.00	$3,797.82	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,559.69 / $2,091.41 / $8,222.53	Professional		$1,559.69	$2,091.41	$8,222.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,129.03 / $3,358.67 / $4,650.39	Professional		$2,129.03	$3,358.67	$4,650.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,476.37 / $3,513.48 / $3,999.63	Professional		$2,476.37	$3,513.48	$3,999.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,091.41 / $3,116.70 / $4,568.76	Facility		$2,091.41	$3,116.70	$4,568.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,538.36 / $3,178.14 / $5,045.95	Professional		$2,538.36	$3,178.14	$5,045.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,282.00 / $3,016.67 / $3,213.99	Facility		$2,282.00	$3,016.67	$3,213.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,091.41 / $3,430.78 / $4,496.53	Facility		$2,091.41	$3,430.78	$4,496.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,743.36 / $3,692.52 / $4,861.60	Professional		$2,743.36	$3,692.52	$4,861.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,462.76 / $8,462.76 / $8,462.76	Facility		$8,462.76	$8,462.76	$8,462.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,902.94 / $3,818.95 / $5,030.58	Professional		$2,902.94	$3,818.95	$5,030.58
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 $2,425.80 / $3,290.61 / $4,974.89	Professional		$2,425.80	$3,290.61	$4,974.89