Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,658.64 / $7,920.26	Facility		$2,747.00	$3,658.64	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,489.77 / $2,012.15 / $7,902.61	Professional		$1,489.77	$2,012.15	$7,902.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,034.89 / $3,195.89 / $4,482.24	Professional		$2,034.89	$3,195.89	$4,482.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,379.83 / $3,374.52 / $3,841.45	Professional		$2,379.83	$3,374.52	$3,841.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,012.15 / $2,995.19 / $4,326.12	Facility		$2,012.15	$2,995.19	$4,326.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,437.48 / $3,023.58 / $4,845.41	Professional		$2,437.48	$3,023.58	$4,845.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,174.92 / $2,899.06 / $3,053.86	Facility		$2,174.92	$2,899.06	$3,053.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,012.15 / $3,285.86 / $4,300.34	Facility		$2,012.15	$3,285.86	$4,300.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,624.68 / $3,529.50 / $4,637.06	Professional		$2,624.68	$3,529.50	$4,637.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,988.95 / $7,988.95 / $7,988.95	Facility		$7,988.95	$7,988.95	$7,988.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,768.86 / $3,642.57 / $4,798.22	Professional		$2,768.86	$3,642.57	$4,798.22
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 $2,327.52 / $3,239.28 / $4,745.10	Professional		$2,327.52	$3,239.28	$4,745.10