Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,136.56 / $7,920.26	Facility		$2,747.00	$4,136.56	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,681.75 / $2,274.04 / $8,947.67	Professional		$1,681.75	$2,274.04	$8,947.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,312.00 / $3,649.21 / $5,085.05	Professional		$2,312.00	$3,649.21	$5,085.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,689.92 / $3,811.82 / $4,339.25	Professional		$2,689.92	$3,811.82	$4,339.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,274.04 / $3,385.46 / $4,927.89	Facility		$2,274.04	$3,385.46	$4,927.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,767.86 / $3,498.35 / $5,502.17	Professional		$2,767.86	$3,498.35	$5,502.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,482.09 / $3,276.81 / $3,472.16	Facility		$2,482.09	$3,276.81	$3,472.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,274.04 / $3,789.69 / $4,889.18	Facility		$2,274.04	$3,789.69	$4,889.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,976.89 / $4,014.66 / $5,288.54	Professional		$2,976.89	$4,014.66	$5,288.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,135.32 / $9,135.32 / $9,135.32	Facility		$9,135.32	$9,135.32	$9,135.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,166.79 / $4,166.06 / $5,487.80	Professional		$3,166.79	$4,166.06	$5,487.80
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 $2,645.25 / $3,711.59 / $5,478.01	Professional		$2,645.25	$3,711.59	$5,478.01