Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,080.28 / $7,920.26	Facility		$2,747.00	$4,080.28	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,426.77 / $2,242.94 / $8,820.23	Professional		$1,426.77	$2,242.94	$8,820.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,278.06 / $3,510.84 / $5,015.22	Professional		$2,278.06	$3,510.84	$5,015.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,653.46 / $3,760.97 / $4,281.37	Professional		$2,653.46	$3,760.97	$4,281.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,242.94 / $3,207.42 / $4,852.92	Facility		$2,242.94	$3,207.42	$4,852.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,665.26 / $3,355.52 / $5,426.83	Professional		$2,665.26	$3,355.52	$5,426.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,393.65 / $3,232.40 / $3,417.00	Facility		$2,393.65	$3,232.40	$3,417.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,242.94 / $3,497.88 / $4,822.34	Facility		$2,242.94	$3,497.88	$4,822.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,933.30 / $3,956.55 / $5,217.64	Professional		$2,933.30	$3,956.55	$5,217.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,995.11 / $8,995.11 / $8,995.11	Facility		$8,995.11	$8,995.11	$8,995.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,124.35 / $4,110.22 / $5,414.26	Professional		$3,124.35	$4,110.22	$5,414.26
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 $2,606.76 / $3,622.31 / $5,404.61	Professional		$2,606.76	$3,622.31	$5,404.61