Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,459.72 / $7,920.26	Facility		$2,747.00	$4,459.72	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,653.60 / $2,453.80 / $9,643.62	Professional		$1,653.60	$2,453.80	$9,643.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,488.40 / $3,837.66 / $5,481.36	Professional		$2,488.40	$3,837.66	$5,481.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,898.98 / $4,109.18 / $4,677.77	Professional		$2,898.98	$4,109.18	$4,677.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,453.80 / $3,603.18 / $5,504.54	Facility		$2,453.80	$3,603.18	$5,504.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,982.41 / $3,806.08 / $5,928.67	Professional		$2,982.41	$3,806.08	$5,928.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,518.11 / $3,531.47 / $3,783.00	Facility		$2,518.11	$3,531.47	$3,783.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,453.80 / $3,826.70 / $5,275.67	Facility		$2,453.80	$3,826.70	$5,275.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,204.35 / $4,324.85 / $5,705.71	Professional		$3,204.35	$4,324.85	$5,705.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,315.34 / $10,315.34 / $10,315.34	Facility		$10,315.34	$10,315.34	$10,315.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,414.64 / $4,492.12 / $5,917.32	Professional		$3,414.64	$4,492.12	$5,917.32
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 $2,849.60 / $4,199.03 / $5,851.82	Professional		$2,849.60	$4,199.03	$5,851.82