Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,614.09 / $7,920.26	Facility		$2,747.00	$3,614.09	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,360.14 / $1,982.43 / $7,772.29	Professional		$1,360.14	$1,982.43	$7,772.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,002.91 / $3,118.86 / $4,434.06	Professional		$2,002.91	$3,118.86	$4,434.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,352.28 / $3,344.06 / $3,806.77	Professional		$2,352.28	$3,344.06	$3,806.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,982.43 / $2,949.79 / $4,267.02	Facility		$1,982.43	$2,949.79	$4,267.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,415.60 / $2,967.69 / $4,801.92	Professional		$2,415.60	$2,967.69	$4,801.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,127.36 / $2,865.51 / $3,029.40	Facility		$2,127.36	$2,865.51	$3,029.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,982.43 / $3,196.06 / $4,262.22	Facility		$1,982.43	$3,196.06	$4,262.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,582.71 / $3,489.72 / $4,597.04	Professional		$2,582.71	$3,489.72	$4,597.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,903.75 / $7,903.75 / $7,903.75	Facility		$7,903.75	$7,903.75	$7,903.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,757.79 / $3,628.00 / $4,779.05	Professional		$2,757.79	$3,628.00	$4,779.05
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 $2,245.01 / $3,375.17 / $4,770.52	Professional		$2,245.01	$3,375.17	$4,770.52