Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,039.28 / $7,920.26	Facility		$2,747.00	$4,039.28	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,662.93 / $2,221.90 / $8,744.68	Professional		$1,662.93	$2,221.90	$8,744.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,261.34 / $3,597.38 / $4,967.05	Professional		$2,261.34	$3,597.38	$4,967.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,626.34 / $3,719.84 / $4,234.54	Professional		$2,626.34	$3,719.84	$4,234.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,221.90 / $3,383.91 / $4,777.09	Facility		$2,221.90	$3,383.91	$4,777.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,703.28 / $3,518.66 / $5,373.79	Professional		$2,703.28	$3,518.66	$5,373.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,428.31 / $3,199.37 / $3,410.20	Facility		$2,428.31	$3,199.37	$3,410.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,221.90 / $3,702.80 / $4,777.09	Facility		$2,221.90	$3,702.80	$4,777.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,910.87 / $3,924.96 / $5,170.38	Professional		$2,910.87	$3,924.96	$5,170.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,931.21 / $8,931.21 / $8,931.21	Facility		$8,931.21	$8,931.21	$8,931.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,096.06 / $4,073.01 / $5,365.24	Professional		$3,096.06	$4,073.01	$5,365.24
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 $2,536.75 / $3,627.36 / $5,355.66	Professional		$2,536.75	$3,627.36	$5,355.66