Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,424.45 / $7,920.26	Facility		$2,747.00	$3,424.45	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,375.14 / $1,884.22 / $7,404.66	Professional		$1,375.14	$1,884.22	$7,404.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,916.32 / $2,951.20 / $4,192.14	Professional		$1,916.32	$2,951.20	$4,192.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,232.31 / $3,169.59 / $3,608.16	Professional		$2,232.31	$3,169.59	$3,608.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,884.22 / $2,802.49 / $4,146.68	Facility		$1,884.22	$2,802.49	$4,146.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,196.57 / $2,867.20 / $4,546.24	Professional		$2,196.57	$2,867.20	$4,546.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,054.28 / $2,719.36 / $2,856.21	Facility		$2,054.28	$2,719.36	$2,856.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,884.22 / $3,040.03 / $4,051.07	Facility		$1,884.22	$3,040.03	$4,051.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,470.05 / $3,325.14 / $4,380.22	Professional		$2,470.05	$3,325.14	$4,380.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,534.66 / $7,534.66 / $7,534.66	Facility		$7,534.66	$7,534.66	$7,534.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,615.71 / $3,441.10 / $4,532.85	Professional		$2,615.71	$3,441.10	$4,532.85
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 $2,140.46 / $3,190.13 / $4,524.75	Professional		$2,140.46	$3,190.13	$4,524.75