Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,685.06 / $7,920.26	Facility		$2,747.00	$3,685.06	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,164.32 / $2,038.08 / $8,056.74	Professional		$1,164.32	$2,038.08	$8,056.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,098.19 / $3,152.16 / $4,530.43	Professional		$2,098.19	$3,152.16	$4,530.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,396.13 / $3,376.41 / $3,843.60	Professional		$2,396.13	$3,376.41	$3,843.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,986.48 / $2,609.15 / $4,494.71	Facility		$1,986.48	$2,609.15	$4,494.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,199.60 / $3,107.84 / $4,900.58	Professional		$2,199.60	$3,107.84	$4,900.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,904.26 / $2,918.92 / $3,161.06	Facility		$1,904.26	$2,918.92	$3,161.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,986.48 / $3,178.39 / $4,381.87	Facility		$1,986.48	$3,178.39	$4,381.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,544.85 / $3,619.20 / $4,749.33	Professional		$2,544.85	$3,619.20	$4,749.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,304.81 / $8,304.81 / $8,304.81	Facility		$8,304.81	$8,304.81	$8,304.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,835.90 / $3,730.76 / $4,914.39	Professional		$2,835.90	$3,730.76	$4,914.39
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 $2,395.13 / $3,358.08 / $4,905.64	Professional		$2,395.13	$3,358.08	$4,905.64