Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,626.76 / $7,920.26	Facility		$2,747.00	$3,626.76	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,395.10 / $1,994.42 / $7,841.16	Professional		$1,395.10	$1,994.42	$7,841.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,026.52 / $3,214.87 / $4,455.68	Professional		$2,026.52	$3,214.87	$4,455.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,359.59 / $3,346.18 / $3,809.18	Professional		$2,359.59	$3,346.18	$3,809.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,994.42 / $3,026.62 / $4,288.00	Facility		$1,994.42	$3,026.62	$4,288.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,426.82 / $3,145.32 / $4,824.22	Professional		$2,426.82	$3,145.32	$4,824.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,174.92 / $2,874.40 / $3,035.77	Facility		$2,174.92	$2,874.40	$3,035.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,994.42 / $3,313.82 / $4,288.00	Facility		$1,994.42	$3,313.82	$4,288.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,610.21 / $3,517.80 / $4,634.03	Professional		$2,610.21	$3,517.80	$4,634.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,001.39 / $8,001.39 / $8,001.39	Facility		$8,001.39	$8,001.39	$8,001.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,775.02 / $3,650.66 / $4,808.89	Professional		$2,775.02	$3,650.66	$4,808.89
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 $2,271.54 / $3,131.09 / $4,755.64	Professional		$2,271.54	$3,131.09	$4,755.64