Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,680.57 / $7,920.26	Facility		$2,747.00	$3,680.57	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,519.47 / $2,026.39 / $7,967.40	Professional		$1,519.47	$2,026.39	$7,967.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,062.44 / $3,267.43 / $4,506.83	Professional		$2,062.44	$3,267.43	$4,506.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,399.16 / $3,404.59 / $3,875.68	Professional		$2,399.16	$3,404.59	$3,875.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,026.39 / $3,019.52 / $4,414.18	Facility		$2,026.39	$3,019.52	$4,414.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,458.83 / $3,076.71 / $4,887.85	Professional		$2,458.83	$3,076.71	$4,887.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,198.17 / $2,922.61 / $3,101.48	Facility		$2,198.17	$2,922.61	$3,101.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,026.39 / $3,340.24 / $4,356.74	Facility		$2,026.39	$3,340.24	$4,356.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,657.69 / $3,577.08 / $4,712.12	Professional		$2,657.69	$3,577.08	$4,712.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,090.10 / $8,090.10 / $8,090.10	Facility		$8,090.10	$8,090.10	$8,090.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,813.76 / $3,701.63 / $4,876.04	Professional		$2,813.76	$3,701.63	$4,876.04
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 $2,350.40 / $3,291.84 / $4,867.34	Professional		$2,350.40	$3,291.84	$4,867.34