Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,206.30 / $7,920.26	Facility		$2,747.00	$4,206.30	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,724.97 / $2,309.85 / $9,068.73	Professional		$1,724.97	$2,309.85	$9,068.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,338.96 / $3,658.70 / $5,164.71	Professional		$2,338.96	$3,658.70	$5,164.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,736.39 / $3,884.89 / $4,422.43	Professional		$2,736.39	$3,884.89	$4,422.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,309.85 / $3,443.94 / $5,145.41	Facility		$2,309.85	$3,443.94	$5,145.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,812.16 / $3,563.85 / $5,590.24	Professional		$2,812.16	$3,563.85	$5,590.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,509.71 / $3,333.43 / $3,537.95	Facility		$2,509.71	$3,333.43	$3,537.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,309.85 / $3,795.28 / $4,966.18	Facility		$2,309.85	$3,795.28	$4,966.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,014.14 / $4,071.60 / $5,363.55	Professional		$3,014.14	$4,071.60	$5,363.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,658.79 / $9,658.79 / $9,658.79	Facility		$9,658.79	$9,658.79	$9,658.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,214.76 / $4,229.17 / $5,570.94	Professional		$3,214.76	$4,229.17	$5,570.94
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $8,571.00 / $36,803.00	Facility		$2,364.00	$8,571.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,675.40 / $3,931.92 / $5,509.25	Professional		$2,675.40	$3,931.92	$5,509.25