Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,421.75 / $7,920.26	Facility		$2,747.00	$4,421.75	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,798.43 / $2,434.37 / $9,587.65	Professional		$1,798.43	$2,434.37	$9,587.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,480.31 / $3,902.52 / $5,441.04	Professional		$2,480.31	$3,902.52	$5,441.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,872.57 / $4,064.25 / $4,626.60	Professional		$2,872.57	$4,064.25	$4,626.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,434.37 / $3,615.34 / $5,296.28	Facility		$2,434.37	$3,615.34	$5,296.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,926.72 / $3,701.85 / $5,880.94	Professional		$2,926.72	$3,701.85	$5,880.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,706.27 / $3,499.30 / $3,894.04	Facility		$2,706.27	$3,499.30	$3,894.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,434.37 / $3,968.47 / $5,233.89	Facility		$2,434.37	$3,968.47	$5,233.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,191.10 / $4,304.82 / $5,670.77	Professional		$3,191.10	$4,304.82	$5,670.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,800.74 / $9,800.74 / $9,800.74	Facility		$9,800.74	$9,800.74	$9,800.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,392.51 / $4,463.00 / $5,878.95	Professional		$3,392.51	$4,463.00	$5,878.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $8,571.00 / $36,803.00	Facility		$2,364.00	$8,571.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,839.20 / $3,947.03 / $5,868.47	Professional		$2,839.20	$3,947.03	$5,868.47