Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,620.16 / $7,920.26	Facility		$2,747.00	$3,620.16	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,306.52 / $1,992.36 / $7,820.04	Professional		$1,306.52	$1,992.36	$7,820.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,017.10 / $3,117.73 / $4,446.84	Professional		$2,017.10	$3,117.73	$4,446.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,353.86 / $3,339.26 / $3,801.31	Professional		$2,353.86	$3,339.26	$3,801.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,992.36 / $2,855.91 / $4,298.49	Facility		$1,992.36	$2,855.91	$4,298.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,420.40 / $2,972.16 / $4,811.46	Professional		$2,420.40	$2,972.16	$4,811.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,113.21 / $2,867.43 / $3,146.99	Facility		$2,113.21	$2,867.43	$3,146.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,992.36 / $3,107.09 / $4,283.57	Facility		$1,992.36	$3,107.09	$4,283.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,598.32 / $3,513.53 / $4,626.83	Professional		$2,598.32	$3,513.53	$4,626.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,340.29 / $8,340.29 / $8,340.29	Facility		$8,340.29	$8,340.29	$8,340.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,770.10 / $3,644.19 / $4,800.35	Professional		$2,770.10	$3,644.19	$4,800.35
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 $2,308.29 / $3,242.99 / $4,791.80	Professional		$2,308.29	$3,242.99	$4,791.80