Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,367.16 / $7,920.26	Facility		$2,747.00	$4,367.16	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,658.91 / $2,397.21 / $9,399.60	Professional		$1,658.91	$2,397.21	$9,399.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,420.16 / $3,796.67 / $5,359.42	Professional		$2,420.16	$3,796.67	$5,359.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,841.71 / $4,037.80 / $4,596.50	Professional		$2,841.71	$4,037.80	$4,596.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,397.21 / $3,576.50 / $5,154.00	Facility		$2,397.21	$3,576.50	$5,154.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,918.90 / $3,738.62 / $5,802.42	Professional		$2,918.90	$3,738.62	$5,802.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,584.32 / $3,461.72 / $3,665.20	Facility		$2,584.32	$3,461.72	$3,665.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,397.21 / $3,897.32 / $5,127.82	Facility		$2,397.21	$3,897.32	$5,127.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,119.89 / $4,223.70 / $5,563.91	Professional		$3,119.89	$4,223.70	$5,563.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,554.07 / $9,554.07 / $9,554.07	Facility		$9,554.07	$9,554.07	$9,554.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,335.31 / $4,387.75 / $5,779.83	Professional		$3,335.31	$4,387.75	$5,779.83
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 $2,770.04 / $3,714.95 / $5,715.84	Professional		$2,770.04	$3,714.95	$5,715.84