Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,444.29 / $7,920.26	Facility		$2,747.00	$4,444.29	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,808.15 / $2,443.88 / $9,617.28	Professional		$1,808.15	$2,443.88	$9,617.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,486.16 / $4,073.43 / $5,464.64	Professional		$2,486.16	$4,073.43	$5,464.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,889.69 / $4,093.44 / $4,659.85	Professional		$2,889.69	$4,093.44	$4,659.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,443.88 / $3,636.89 / $5,310.17	Facility		$2,443.88	$3,636.89	$5,310.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,973.88 / $3,857.55 / $5,911.71	Professional		$2,973.88	$3,857.55	$5,911.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,670.08 / $3,520.17 / $3,750.88	Facility		$2,670.08	$3,520.17	$3,750.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,443.88 / $4,011.60 / $5,254.34	Facility		$2,443.88	$4,011.60	$5,254.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,200.54 / $4,316.52 / $5,686.19	Professional		$3,200.54	$4,316.52	$5,686.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,320.69 / $10,320.69 / $10,320.69	Facility		$10,320.69	$10,320.69	$10,320.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,405.42 / $4,479.99 / $5,901.33	Professional		$3,405.42	$4,479.99	$5,901.33
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 $2,844.40 / $3,860.50 / $5,835.99	Professional		$2,844.40	$3,860.50	$5,835.99