Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,731.03 / $7,920.26	Facility		$2,747.00	$3,731.03	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,416.88 / $2,047.22 / $8,029.55	Professional		$1,416.88	$2,047.22	$8,029.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,069.40 / $3,253.56 / $4,577.63	Professional		$2,069.40	$3,253.56	$4,577.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,428.76 / $3,451.88 / $3,929.51	Professional		$2,428.76	$3,451.88	$3,929.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,047.22 / $3,056.78 / $4,409.56	Facility		$2,047.22	$3,056.78	$4,409.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,494.60 / $3,067.05 / $4,958.97	Professional		$2,494.60	$3,067.05	$4,958.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,219.01 / $2,958.68 / $3,142.28	Facility		$2,219.01	$2,958.68	$3,142.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,047.22 / $3,328.89 / $4,401.52	Facility		$2,047.22	$3,328.89	$4,401.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,668.09 / $3,604.38 / $4,748.08	Professional		$2,668.09	$3,604.38	$4,748.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,166.38 / $8,166.38 / $8,166.38	Facility		$8,166.38	$8,166.38	$8,166.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,848.82 / $3,747.75 / $4,936.79	Professional		$2,848.82	$3,747.75	$4,936.79
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 $2,365.48 / $3,444.13 / $4,882.14	Professional		$2,365.48	$3,444.13	$4,882.14