Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,262.02 / $7,920.26	Facility		$2,747.00	$4,262.02	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,736.51 / $2,339.34 / $9,181.73	Professional		$1,736.51	$2,339.34	$9,181.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,367.42 / $3,734.62 / $5,231.58	Professional		$2,367.42	$3,734.62	$5,231.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,773.37 / $3,939.29 / $4,484.35	Professional		$2,773.37	$3,939.29	$4,484.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,339.34 / $3,490.49 / $5,057.47	Facility		$2,339.34	$3,490.49	$5,057.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,849.52 / $3,512.79 / $5,664.49	Professional		$2,849.52	$3,512.79	$5,664.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,540.23 / $3,378.48 / $3,578.16	Facility		$2,540.23	$3,378.48	$3,578.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,339.34 / $3,815.53 / $5,029.58	Facility		$2,339.34	$3,815.53	$5,029.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,051.61 / $4,126.17 / $5,429.31	Professional		$3,051.61	$4,126.17	$5,429.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,348.24 / $9,348.24 / $9,348.24	Facility		$9,348.24	$9,348.24	$9,348.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,255.97 / $4,283.38 / $5,642.35	Professional		$3,255.97	$4,283.38	$5,642.35
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 $2,707.12 / $3,849.28 / $5,579.88	Professional		$2,707.12	$3,849.28	$5,579.88