Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,481.16 / $7,920.26	Facility		$2,747.00	$3,481.16	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,405.70 / $1,909.82 / $7,486.78	Professional		$1,405.70	$1,909.82	$7,486.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,929.23 / $3,009.74 / $4,269.83	Professional		$1,929.23	$3,009.74	$4,269.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,266.86 / $3,223.80 / $3,669.87	Professional		$2,266.86	$3,223.80	$3,669.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,909.82 / $2,848.11 / $4,119.85	Facility		$1,909.82	$2,848.11	$4,119.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,327.54 / $2,856.60 / $4,626.87	Professional		$2,327.54	$2,856.60	$4,626.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,068.33 / $2,761.44 / $2,930.80	Facility		$2,068.33	$2,761.44	$2,930.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,909.82 / $3,086.65 / $4,106.10	Facility		$1,909.82	$3,086.65	$4,106.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,488.21 / $3,361.80 / $4,428.53	Professional		$2,488.21	$3,361.80	$4,428.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,610.99 / $7,610.99 / $7,610.99	Facility		$7,610.99	$7,610.99	$7,610.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,655.09 / $3,492.88 / $4,601.06	Professional		$2,655.09	$3,492.88	$4,601.06
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 $2,246.15 / $3,458.22 / $4,592.85	Professional		$2,246.15	$3,458.22	$4,592.85