Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,265.13 / $7,920.26	Facility		$2,747.00	$4,265.13	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,634.77 / $2,347.76 / $9,227.64	Professional		$1,634.77	$2,347.76	$9,227.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,380.90 / $3,766.74 / $5,242.39	Professional		$2,380.90	$3,766.74	$5,242.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,773.59 / $3,931.04 / $4,474.97	Professional		$2,773.59	$3,931.04	$4,474.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,347.76 / $3,490.77 / $5,073.21	Facility		$2,347.76	$3,490.77	$5,073.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,853.79 / $3,527.28 / $5,672.99	Professional		$2,853.79	$3,527.28	$5,672.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,681.74 / $3,378.74 / $3,723.86	Facility		$2,681.74	$3,378.74	$3,723.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,347.76 / $3,844.49 / $5,047.68	Facility		$2,347.76	$3,844.49	$5,047.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,065.70 / $4,144.14 / $5,459.11	Professional		$3,065.70	$4,144.14	$5,459.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,871.70 / $9,871.70 / $9,871.70	Facility		$9,871.70	$9,871.70	$9,871.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,268.27 / $4,299.56 / $5,663.66	Professional		$3,268.27	$4,299.56	$5,663.66
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 $2,727.40 / $3,816.71 / $5,600.97	Professional		$2,727.40	$3,816.71	$5,600.97