Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,363.20 / $7,920.26	Facility		$2,747.00	$3,363.20	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,368.04 / $1,850.39 / $7,271.30	Professional		$1,368.04	$1,850.39	$7,271.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,882.37 / $2,965.94 / $4,116.43	Professional		$1,882.37	$2,965.94	$4,116.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,192.42 / $3,113.30 / $3,544.08	Professional		$2,192.42	$3,113.30	$3,544.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,850.39 / $2,759.34 / $3,991.19	Facility		$1,850.39	$2,759.34	$3,991.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,245.88 / $2,905.82 / $4,464.54	Professional		$2,245.88	$2,905.82	$4,464.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,008.74 / $2,670.78 / $2,805.96	Facility		$2,008.74	$2,670.78	$2,805.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,850.39 / $3,008.50 / $3,978.34	Facility		$1,850.39	$3,008.50	$3,978.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,426.39 / $3,265.08 / $4,301.12	Professional		$2,426.39	$3,265.08	$4,301.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,355.45 / $7,355.45 / $7,355.45	Facility		$7,355.45	$7,355.45	$7,355.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,568.36 / $3,378.80 / $4,450.78	Professional		$2,568.36	$3,378.80	$4,450.78
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 $2,142.92 / $3,003.85 / $4,442.84	Professional		$2,142.92	$3,003.85	$4,442.84