Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,260.18 / $7,920.26	Facility		$2,747.00	$4,260.18	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,623.51 / $1,907.74 / $9,184.66	Professional		$1,623.51	$1,907.74	$9,184.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,368.53 / $3,722.21 / $5,230.59	Professional		$2,368.53	$3,722.21	$5,230.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,772.20 / $3,936.23 / $4,480.87	Professional		$2,772.20	$3,936.23	$4,480.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,339.07 / $3,489.01 / $5,029.00	Facility		$2,339.07	$3,489.01	$5,029.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,848.99 / $3,474.15 / $5,663.44	Professional		$2,848.99	$3,474.15	$5,663.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,540.71 / $3,377.04 / $3,579.52	Facility		$2,540.71	$3,377.04	$3,579.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,339.07 / $3,814.59 / $5,000.09	Facility		$2,339.07	$3,814.59	$5,000.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,052.45 / $4,122.30 / $5,430.34	Professional		$3,052.45	$4,122.30	$5,430.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,351.79 / $9,351.79 / $9,351.79	Facility		$9,351.79	$9,351.79	$9,351.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,254.74 / $4,281.76 / $5,640.21	Professional		$3,254.74	$4,281.76	$5,640.21
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 $2,709.21 / $3,974.04 / $5,577.77	Professional		$2,709.21	$3,974.04	$5,577.77