Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,070.74 / $7,920.26	Facility		$2,747.00	$4,070.74	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,640.12 / $2,234.26 / $8,766.39	Professional		$1,640.12	$2,234.26	$8,766.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,261.27 / $3,511.97 / $4,997.53	Professional		$2,261.27	$3,511.97	$4,997.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,647.50 / $3,760.35 / $4,280.66	Professional		$2,647.50	$3,760.35	$4,280.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,234.26 / $3,331.06 / $4,803.66	Facility		$2,234.26	$3,331.06	$4,803.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,719.83 / $3,314.76 / $5,406.69	Professional		$2,719.83	$3,314.76	$5,406.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,403.60 / $3,225.12 / $3,417.68	Facility		$2,403.60	$3,225.12	$3,417.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,234.26 / $3,608.94 / $4,783.50	Facility		$2,234.26	$3,608.94	$4,783.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,914.64 / $3,935.88 / $5,184.77	Professional		$2,914.64	$3,935.88	$5,184.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,925.92 / $8,925.92 / $8,925.92	Facility		$8,925.92	$8,925.92	$8,925.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,108.36 / $4,089.19 / $5,386.55	Professional		$3,108.36	$4,089.19	$5,386.55
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 $2,584.40 / $3,625.19 / $5,376.95	Professional		$2,584.40	$3,625.19	$5,376.95