Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,396.00 / $7,920.26	Facility		$2,747.00	$4,396.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,812.18 / $2,421.46 / $9,531.27	Professional		$1,812.18	$2,421.46	$9,531.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,481.21 / $3,907.63 / $5,385.97	Professional		$2,481.21	$3,907.63	$5,385.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,864.54 / $4,060.40 / $4,622.22	Professional		$2,864.54	$4,060.40	$4,622.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,421.46 / $3,605.24 / $5,271.29	Facility		$2,421.46	$3,605.24	$5,271.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,937.58 / $3,721.17 / $5,839.55	Professional		$2,937.58	$3,721.17	$5,839.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,637.13 / $3,489.53 / $3,678.58	Facility		$2,637.13	$3,489.53	$3,678.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,421.46 / $3,990.22 / $5,206.14	Facility		$2,421.46	$3,990.22	$5,206.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,196.20 / $4,279.85 / $5,634.10	Professional		$3,196.20	$4,279.85	$5,634.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,657.01 / $9,657.01 / $9,657.01	Facility		$9,657.01	$9,657.01	$9,657.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,364.22 / $4,425.78 / $5,829.93	Professional		$3,364.22	$4,425.78	$5,829.93
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 $2,815.28 / $4,120.47 / $5,765.38	Professional		$2,815.28	$4,120.47	$5,765.38