Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,382.81 / $7,920.26	Facility		$2,747.00	$4,382.81	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,711.67 / $2,407.27 / $9,452.59	Professional		$1,711.67	$2,407.27	$9,452.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,438.96 / $3,776.20 / $5,382.04	Professional		$2,438.96	$3,776.20	$5,382.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,851.66 / $4,047.42 / $4,607.45	Professional		$2,851.66	$4,047.42	$4,607.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,407.27 / $3,503.40 / $5,374.96	Facility		$2,407.27	$3,503.40	$5,374.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,931.18 / $3,716.48 / $5,826.82	Professional		$2,931.18	$3,716.48	$5,826.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,587.34 / $3,473.84 / $3,801.58	Facility		$2,587.34	$3,473.84	$3,801.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,407.27 / $3,801.91 / $5,175.63	Facility		$2,407.27	$3,801.91	$5,175.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,142.59 / $4,246.32 / $5,593.71	Professional		$3,142.59	$4,246.32	$5,593.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,077.59 / $10,077.59 / $10,077.59	Facility		$10,077.59	$10,077.59	$10,077.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,351.91 / $4,409.60 / $5,808.61	Professional		$3,351.91	$4,409.60	$5,808.61
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 $2,842.93 / $4,219.66 / $5,798.24	Professional		$2,842.93	$4,219.66	$5,798.24