Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,202.02 / $7,920.26	Facility		$2,747.00	$4,202.02	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.05 / $2,306.66 / $9,055.93	Professional		$1,698.05	$2,306.66	$9,055.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,335.48 / $3,646.29 / $5,158.81	Professional		$2,335.48	$3,646.29	$5,158.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,734.32 / $3,882.80 / $4,420.05	Professional		$2,734.32	$3,882.80	$4,420.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,306.66 / $3,441.33 / $4,959.32	Facility		$2,306.66	$3,441.33	$4,959.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,810.02 / $3,425.16 / $5,585.97	Professional		$2,810.02	$3,425.16	$5,585.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,506.32 / $3,330.89 / $3,529.20	Facility		$2,506.32	$3,330.89	$3,529.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,306.66 / $3,736.53 / $4,942.70	Facility		$2,306.66	$3,736.53	$4,942.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,009.98 / $4,066.14 / $5,356.36	Professional		$3,009.98	$4,066.14	$5,356.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,222.25 / $9,222.25 / $9,222.25	Facility		$9,222.25	$9,222.25	$9,222.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,211.08 / $4,224.31 / $5,564.54	Professional		$3,211.08	$4,224.31	$5,564.54
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 $2,670.72 / $3,745.44 / $5,554.61	Professional		$2,670.72	$3,745.44	$5,554.61