Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,666.31 / $7,920.26	Facility		$2,747.00	$3,666.31	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,484.67 / $2,329.46 / $7,897.68	Professional		$1,484.67	$2,329.46	$7,897.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,036.44 / $3,187.13 / $4,499.93	Professional		$2,036.44	$3,187.13	$4,499.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,386.31 / $3,389.81 / $3,858.85	Professional		$2,386.31	$3,389.81	$3,858.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,013.47 / $3,003.34 / $4,328.96	Facility		$2,013.47	$3,003.34	$4,328.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,451.90 / $2,984.25 / $4,874.08	Professional		$2,451.90	$2,984.25	$4,874.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,183.64 / $2,906.95 / $3,092.64	Facility		$2,183.64	$2,906.95	$3,092.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,013.47 / $3,265.22 / $4,307.74	Facility		$2,013.47	$3,265.22	$4,307.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,624.92 / $3,547.44 / $4,673.07	Professional		$2,624.92	$3,547.44	$4,673.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,035.09 / $8,035.09 / $8,035.09	Facility		$8,035.09	$8,035.09	$8,035.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,800.23 / $3,683.83 / $4,852.59	Professional		$2,800.23	$3,683.83	$4,852.59
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 $2,328.04 / $3,263.05 / $4,798.85	Professional		$2,328.04	$3,263.05	$4,798.85