Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,051.36 / $7,920.26	Facility		$2,747.00	$4,051.36	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,550.89 / $2,228.81 / $7,343.32	Professional		$1,550.89	$2,228.81	$7,343.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,268.15 / $3,579.86 / $4,981.80	Professional		$2,268.15	$3,579.86	$4,981.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,634.54 / $3,731.41 / $4,247.72	Professional		$2,634.54	$3,731.41	$4,247.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,228.81 / $3,369.34 / $4,791.93	Facility		$2,228.81	$3,369.34	$4,791.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,711.82 / $3,516.70 / $5,390.78	Professional		$2,711.82	$3,516.70	$5,390.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,435.58 / $3,209.34 / $3,421.08	Facility		$2,435.58	$3,209.34	$3,421.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,228.81 / $3,689.06 / $4,791.93	Facility		$2,228.81	$3,689.06	$4,791.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,919.64 / $3,927.09 / $5,184.77	Professional		$2,919.64	$3,927.09	$5,184.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,961.40 / $8,961.40 / $8,961.40	Facility		$8,961.40	$8,961.40	$8,961.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,104.68 / $4,084.34 / $5,380.16	Professional		$3,104.68	$4,084.34	$5,380.16
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 $2,594.28 / $3,492.31 / $5,320.61	Professional		$2,594.28	$3,492.31	$5,320.61