Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,590.13 / $7,920.26	Facility		$2,747.00	$4,590.13	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,882.21 / $2,523.42 / $9,934.04	Professional		$1,882.21	$2,523.42	$9,934.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,568.92 / $4,071.87 / $5,644.60	Professional		$2,568.92	$4,071.87	$5,644.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,983.84 / $4,226.14 / $4,810.92	Professional		$2,983.84	$4,226.14	$4,810.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,523.42 / $3,755.38 / $5,685.04	Facility		$2,523.42	$3,755.38	$5,685.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,071.01 / $3,930.88 / $6,104.80	Professional		$3,071.01	$3,930.88	$6,104.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,758.26 / $3,634.87 / $3,873.28	Facility		$2,758.26	$3,634.87	$3,873.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,523.42 / $4,146.18 / $5,425.35	Facility		$2,523.42	$4,146.18	$5,425.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,306.79 / $4,447.72 / $5,874.22	Professional		$3,306.79	$4,447.72	$5,874.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,664.95 / $10,664.95 / $10,664.95	Facility		$10,664.95	$10,664.95	$10,664.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,516.74 / $4,626.43 / $6,094.24	Professional		$3,516.74	$4,626.43	$6,094.24
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 $2,882.01 / $4,340.88 / $6,083.37	Professional		$2,882.01	$4,340.88	$6,083.37