Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,680.75 / $7,920.26	Facility		$2,747.00	$3,680.75	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,802.63 / $2,030.87 / $8,028.11	Professional		$1,802.63	$2,030.87	$8,028.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,417.92 / $3,380.93 / $4,925.89	Professional		$2,417.92	$3,380.93	$4,925.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,395.44 / $3,386.97 / $3,855.62	Professional		$2,395.44	$3,386.97	$3,855.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,468.80 / $2,904.14 / $4,625.70	Facility		$1,468.80	$2,904.14	$4,625.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,460.98 / $3,505.03 / $4,892.12	Professional		$2,460.98	$3,505.03	$4,892.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,480.98 / $2,918.07 / $3,731.23	Facility		$2,480.98	$2,918.07	$3,731.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,468.80 / $3,167.14 / $4,625.70	Facility		$1,468.80	$3,167.14	$4,625.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,860.06 / $3,690.40 / $4,739.85	Professional		$2,860.06	$3,690.40	$4,739.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,956.91 / $9,956.91 / $9,956.91	Facility		$9,956.91	$9,956.91	$9,956.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,824.22 / $3,715.39 / $4,894.14	Professional		$2,824.22	$3,715.39	$4,894.14
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 $2,440.84 / $3,845.80 / $4,885.42	Professional		$2,440.84	$3,845.80	$4,885.42