Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,502.99 / $7,920.26	Facility		$2,747.00	$4,502.99	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,832.44 / $2,475.80 / $9,743.02	Professional		$1,832.44	$2,475.80	$9,743.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,519.15 / $4,126.83 / $5,537.41	Professional		$2,519.15	$4,126.83	$5,537.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,927.75 / $4,147.08 / $4,720.89	Professional		$2,927.75	$4,147.08	$4,720.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,475.80 / $3,684.78 / $5,370.33	Facility		$2,475.80	$3,684.78	$5,370.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,966.40 / $3,908.92 / $5,990.20	Professional		$2,966.40	$3,908.92	$5,990.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,748.41 / $3,566.52 / $3,841.11	Facility		$2,748.41	$3,566.52	$3,841.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,475.80 / $4,065.63 / $5,322.97	Facility		$2,475.80	$4,065.63	$5,322.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,242.85 / $4,373.46 / $5,761.19	Professional		$3,242.85	$4,373.46	$5,761.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,953.34 / $9,953.34 / $9,953.34	Facility		$9,953.34	$9,953.34	$9,953.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,449.09 / $4,537.43 / $5,977.01	Professional		$3,449.09	$4,537.43	$5,977.01
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 $2,881.85 / $4,008.24 / $5,966.33	Professional		$2,881.85	$4,008.24	$5,966.33