Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,924.09 / $7,920.26	Facility		$2,747.00	$3,924.09	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,629.08 / $2,160.16 / $8,493.44	Professional		$1,629.08	$2,160.16	$8,493.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,199.48 / $3,493.72 / $4,803.81	Professional		$2,199.48	$3,493.72	$4,803.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,558.92 / $3,631.96 / $4,134.50	Professional		$2,558.92	$3,631.96	$4,134.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,160.16 / $3,220.59 / $4,707.60	Facility		$2,160.16	$3,220.59	$4,707.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,622.15 / $3,280.26 / $5,212.51	Professional		$2,622.15	$3,280.26	$5,212.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,344.50 / $3,117.24 / $3,305.48	Facility		$2,344.50	$3,117.24	$3,305.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,160.16 / $3,579.19 / $4,644.34	Facility		$2,160.16	$3,579.19	$4,644.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,834.62 / $3,811.86 / $5,021.39	Professional		$2,834.62	$3,811.86	$5,021.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,638.41 / $8,638.41 / $8,638.41	Facility		$8,638.41	$8,638.41	$8,638.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,998.88 / $3,945.17 / $5,196.84	Professional		$2,998.88	$3,945.17	$5,196.84
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 $2,456.67 / $3,371.91 / $5,139.31	Professional		$2,456.67	$3,371.91	$5,139.31