Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,121.67 / $7,920.26	Facility		$2,747.00	$4,121.67	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,697.63 / $2,268.76 / $8,921.77	Professional		$1,697.63	$2,268.76	$8,921.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,311.19 / $3,657.24 / $5,047.68	Professional		$2,311.19	$3,657.24	$5,047.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,686.08 / $3,811.06 / $4,338.39	Professional		$2,686.08	$3,811.06	$4,338.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,268.76 / $3,380.62 / $4,901.05	Facility		$2,268.76	$3,380.62	$4,901.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,752.91 / $3,435.51 / $5,472.45	Professional		$2,752.91	$3,435.51	$5,472.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,467.07 / $3,272.13 / $3,473.44	Facility		$2,467.07	$3,272.13	$3,473.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,268.76 / $3,735.42 / $4,877.83	Facility		$2,268.76	$3,735.42	$4,877.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,978.00 / $4,006.08 / $5,274.63	Professional		$2,978.00	$4,006.08	$5,274.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,089.18 / $9,089.18 / $9,089.18	Facility		$9,089.18	$9,089.18	$9,089.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,149.57 / $4,143.39 / $5,457.96	Professional		$3,149.57	$4,143.39	$5,457.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,446.00 / $10,234.00 / $36,803.00	Facility		$2,446.00	$10,234.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,581.63 / $3,720.23 / $5,448.21	Professional		$2,581.63	$3,720.23	$5,448.21